‘‘Bilateral nasocheek flap for reconstruction of upper lip, columella and nasal septum: A modified technique’’

There is a great number of medical conditions causing loss of tissue affecting upper lip, nasal base, columella and membranous septum; in our case wide resection of a relapsing squamous cell carcinoma required a challenging reconstruction to preserve function and aesthetics, guaranteeing oncological...

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Bibliographic Details
Main Authors: Valentina Terenzi, Fiorenza Dal Cortivo, Salvatore Martellucci, Veronica Clemenzi, Andrea Stolfa, Camilla Gallipoli, Andrea Gallo, Valentino Valentini, Giulio Pagliuca
Format: Article
Language:English
Published: Elsevier 2023-12-01
Series:Oral Oncology Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2772906023001000
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Summary:There is a great number of medical conditions causing loss of tissue affecting upper lip, nasal base, columella and membranous septum; in our case wide resection of a relapsing squamous cell carcinoma required a challenging reconstruction to preserve function and aesthetics, guaranteeing oncological safety. We propose a modification of classical nasocheek advancement flap, avoiding alar lobule detachment in order to minimize the risk of nasal deformity. Concomitant cartilage graft reconstruction was contraindicated, since the need of adjuvant radiotherapy should not be excluded preoperatively. A single-stage and « single-technique » reconstruction is reported with good functional results and minimal cosmetic deformity at three months post-surgery.
ISSN:2772-9060