Reconstruction of Nasal Skin Cancer Defects with Local Flaps

Reconstruction of nasal defects must preserve the integrity of complex facial functions and expressions, as well as facial symmetry and a pleasing aesthetic outcome. The reconstructive modality of choice will depend largely on the location, size, and depth of the surgical defect. Individualized ther...

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Main Authors: A. C. Salgarelli, P. Bellini, A. Multinu, C. Magnoni, M. Francomano, F. Fantini, U. Consolo, S. Seidenari
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Journal of Skin Cancer
Online Access:http://dx.doi.org/10.1155/2011/181093
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author A. C. Salgarelli
P. Bellini
A. Multinu
C. Magnoni
M. Francomano
F. Fantini
U. Consolo
S. Seidenari
author_facet A. C. Salgarelli
P. Bellini
A. Multinu
C. Magnoni
M. Francomano
F. Fantini
U. Consolo
S. Seidenari
author_sort A. C. Salgarelli
collection DOAJ
description Reconstruction of nasal defects must preserve the integrity of complex facial functions and expressions, as well as facial symmetry and a pleasing aesthetic outcome. The reconstructive modality of choice will depend largely on the location, size, and depth of the surgical defect. Individualized therapy is the best course, and numerous flaps have been designed to provide coverage of a variety of nasal-specific defects. We describe our experience in the aesthetic reconstruction of nasal skin defects following oncological surgery. The use of different local flaps for nasal skin cancer defects is reported in 286 patients. Complications in this series were one partial flap dehiscence that healed by secondary intention, two forehead flaps, and one bilobed flap with minimal rim necrosis that resulted in an irregular scar requiring revision. Aesthetic results were deemed satisfactory by all patients and the operating surgeons. The color and texture matches were aesthetically good, and the nasal contour was distinct in all patients. All scars were inconspicuous and symmetrical. No patient had tenting or a flat nose.
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language English
publishDate 2011-01-01
publisher Wiley
record_format Article
series Journal of Skin Cancer
spelling doaj-art-87fb90a49bd74543a97f31e864ffbdd72025-02-03T05:52:32ZengWileyJournal of Skin Cancer2090-29052090-29132011-01-01201110.1155/2011/181093181093Reconstruction of Nasal Skin Cancer Defects with Local FlapsA. C. Salgarelli0P. Bellini1A. Multinu2C. Magnoni3M. Francomano4F. Fantini5U. Consolo6S. Seidenari7Department of Head and Neck Surgery, Unit of Maxillofacial Surgery, Modena and Reggio Emilia University, Via del Pozzo 71, 41100 Modena, ItalyDepartment of Head and Neck Surgery, Unit of Maxillofacial Surgery, Modena and Reggio Emilia University, Via del Pozzo 71, 41100 Modena, ItalyDepartment of Head and Neck Surgery, Unit of Maxillofacial Surgery, Modena and Reggio Emilia University, Via del Pozzo 71, 41100 Modena, ItalyDepartment of Dermatology, Head and Neck Skin Cancer Service, Modena and Reggio Emilia University, Via del Pozzo 71, 41100 Modena, ItalyDepartment of Dermatology, Head and Neck Skin Cancer Service, Modena and Reggio Emilia University, Via del Pozzo 71, 41100 Modena, ItalyDepartment of Dermatology, Head and Neck Skin Cancer Service, Modena and Reggio Emilia University, Via del Pozzo 71, 41100 Modena, ItalyDepartment of Head and Neck Surgery, Unit of Maxillofacial Surgery, Modena and Reggio Emilia University, Via del Pozzo 71, 41100 Modena, ItalyDepartment of Dermatology, Head and Neck Skin Cancer Service, Modena and Reggio Emilia University, Via del Pozzo 71, 41100 Modena, ItalyReconstruction of nasal defects must preserve the integrity of complex facial functions and expressions, as well as facial symmetry and a pleasing aesthetic outcome. The reconstructive modality of choice will depend largely on the location, size, and depth of the surgical defect. Individualized therapy is the best course, and numerous flaps have been designed to provide coverage of a variety of nasal-specific defects. We describe our experience in the aesthetic reconstruction of nasal skin defects following oncological surgery. The use of different local flaps for nasal skin cancer defects is reported in 286 patients. Complications in this series were one partial flap dehiscence that healed by secondary intention, two forehead flaps, and one bilobed flap with minimal rim necrosis that resulted in an irregular scar requiring revision. Aesthetic results were deemed satisfactory by all patients and the operating surgeons. The color and texture matches were aesthetically good, and the nasal contour was distinct in all patients. All scars were inconspicuous and symmetrical. No patient had tenting or a flat nose.http://dx.doi.org/10.1155/2011/181093
spellingShingle A. C. Salgarelli
P. Bellini
A. Multinu
C. Magnoni
M. Francomano
F. Fantini
U. Consolo
S. Seidenari
Reconstruction of Nasal Skin Cancer Defects with Local Flaps
Journal of Skin Cancer
title Reconstruction of Nasal Skin Cancer Defects with Local Flaps
title_full Reconstruction of Nasal Skin Cancer Defects with Local Flaps
title_fullStr Reconstruction of Nasal Skin Cancer Defects with Local Flaps
title_full_unstemmed Reconstruction of Nasal Skin Cancer Defects with Local Flaps
title_short Reconstruction of Nasal Skin Cancer Defects with Local Flaps
title_sort reconstruction of nasal skin cancer defects with local flaps
url http://dx.doi.org/10.1155/2011/181093
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