Nasolabial and forehead flap reconstruction of contiguous alar–upper lip defects

Jonathan A. Zelken, Sashank K. Reddy, Chun Shin Chang, Shiow Shuh Chuang, Cheng Jen Chang, Hung Chang Chen, Yen Chang Hsiao

研究成果: 雜誌貢獻文章同行評審

3 引文 斯高帕斯(Scopus)

摘要

Background Defects of the nasal ala and upper lip aesthetic subunits can be challenging to reconstruct when they occur in isolation. When defects incorporate both the subunits, the challenge is compounded as subunit boundaries also require reconstruction, and local soft tissue reservoirs alone may provide inadequate coverage. In such cases, we used nasolabial flaps for upper lip reconstruction and a forehead flap for alar reconstruction. Methods Three men and three women aged 21–79 years (average, 55 years) were treated for defects of the nasal ala and upper lip that resulted from cancer (n = 4) and trauma (n = 2). Unaffected contralateral subunits dictated the flap design. The upper lip subunit was excised and replaced with a nasolabial flap. The flap, depending on the contralateral reference, determined accurate alar base position. A forehead flap resurfaced or replaced the nasal ala. Autologous cartilage was used in every case to fortify the forehead flap reconstruction. Results Patients were followed for 25.6 months (range, 1–4 years). All the flaps survived, and there were no complications. Satisfactory aesthetic results were achieved in every case. With the exception of a small vertical cheek scar and a vertical forehead scar, all incisions were concealed within the subunit borders. Conclusion From preliminary experience, we advocate combining nasolabial flap reconstruction of the upper lip with a forehead flap reconstruction of the ala to preserve normal facial appearance. This combination addresses an important void in the algorithmic approach to central facial reconstruction.
原文英語
頁(從 - 到)330-335
頁數6
期刊Journal of Plastic, Reconstructive and Aesthetic Surgery
70
發行號3
DOIs
出版狀態已發佈 - 三月 1 2017
對外發佈Yes

ASJC Scopus subject areas

  • Surgery

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