Alar Reconstruction with Subcutaneous Pedicled Nasolabial Flap: Difficulties, Considerations, and Conclusions for This Procedure
BACKGROUNDThe subcutaneous pedicled nasolabial flap is a useful material for alar reconstruction. OBJECTIVEThis article describes the difficulties and considerations in this procedure and discusses the procedural problems involved, drawing conclusions from them. METHODSCase 1a folded flap was used w...
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| Veröffentlicht in: | Dermatologic surgery 2005-10, Vol.31 (10), p.1351-1354 |
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| container_title | Dermatologic surgery |
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| creator | Iwao, Fumiya |
| description | BACKGROUNDThe subcutaneous pedicled nasolabial flap is a useful material for alar reconstruction.
OBJECTIVEThis article describes the difficulties and considerations in this procedure and discusses the procedural problems involved, drawing conclusions from them.
METHODSCase 1a folded flap was used with a conchal cartilage strut sandwich. Case 2only a folded flap was used. Case 3the flap was used to cover the outer surface of the ala, and a mucoperiosteal graft from the hard palate was used for the ala lining.
RESULTSThe cartilage strut was not sufficient to support the shape of the ala in case 1. Harvesting a sufficiently wide flap is thought to be important. However, a folded flap had some drawbacks, with the formation of a thick alar rim.
CONCLUSIONSThe combination of a flap for the outer surface and a mucoperiosteal graft as a lining is thought to be an excellent option for alar reconstruction. |
| doi_str_mv | 10.1097/00042728-200510000-00019 |
| format | Article |
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OBJECTIVEThis article describes the difficulties and considerations in this procedure and discusses the procedural problems involved, drawing conclusions from them.
METHODSCase 1a folded flap was used with a conchal cartilage strut sandwich. Case 2only a folded flap was used. Case 3the flap was used to cover the outer surface of the ala, and a mucoperiosteal graft from the hard palate was used for the ala lining.
RESULTSThe cartilage strut was not sufficient to support the shape of the ala in case 1. Harvesting a sufficiently wide flap is thought to be important. However, a folded flap had some drawbacks, with the formation of a thick alar rim.
CONCLUSIONSThe combination of a flap for the outer surface and a mucoperiosteal graft as a lining is thought to be an excellent option for alar reconstruction.</description><identifier>ISSN: 1076-0512</identifier><identifier>EISSN: 1524-4725</identifier><identifier>DOI: 10.1097/00042728-200510000-00019</identifier><identifier>PMID: 16188195</identifier><language>eng</language><publisher>Malden, MA: by the American Society for Dermatologic Surgery, Inc</publisher><subject>Aged ; Biological and medical sciences ; Carcinoma, Basal Cell - surgery ; Dermatology ; Face - blood supply ; Female ; Humans ; Male ; Medical sciences ; Middle Aged ; Mohs Surgery - methods ; Nose Neoplasms - surgery ; Rhinoplasty - methods ; Skin plastic surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgical Flaps ; Treatment Outcome</subject><ispartof>Dermatologic surgery, 2005-10, Vol.31 (10), p.1351-1354</ispartof><rights>2005 by the American Society for Dermatologic Surgery, Inc.</rights><rights>2006 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17260187$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16188195$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Iwao, Fumiya</creatorcontrib><title>Alar Reconstruction with Subcutaneous Pedicled Nasolabial Flap: Difficulties, Considerations, and Conclusions for This Procedure</title><title>Dermatologic surgery</title><addtitle>Dermatol Surg</addtitle><description>BACKGROUNDThe subcutaneous pedicled nasolabial flap is a useful material for alar reconstruction.
OBJECTIVEThis article describes the difficulties and considerations in this procedure and discusses the procedural problems involved, drawing conclusions from them.
METHODSCase 1a folded flap was used with a conchal cartilage strut sandwich. Case 2only a folded flap was used. Case 3the flap was used to cover the outer surface of the ala, and a mucoperiosteal graft from the hard palate was used for the ala lining.
RESULTSThe cartilage strut was not sufficient to support the shape of the ala in case 1. Harvesting a sufficiently wide flap is thought to be important. However, a folded flap had some drawbacks, with the formation of a thick alar rim.
CONCLUSIONSThe combination of a flap for the outer surface and a mucoperiosteal graft as a lining is thought to be an excellent option for alar reconstruction.</description><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Carcinoma, Basal Cell - surgery</subject><subject>Dermatology</subject><subject>Face - blood supply</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Mohs Surgery - methods</subject><subject>Nose Neoplasms - surgery</subject><subject>Rhinoplasty - methods</subject><subject>Skin plastic surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgical Flaps</subject><subject>Treatment Outcome</subject><issn>1076-0512</issn><issn>1524-4725</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU1vFDEMhiNERUvhL6Bc4MRAPmaSDLdqSwGpaiso58iTcbSB7MySTLTixk8nyy70xMGKbT1-Lb8hhHL2hrNev2WMtUIL0wjGOl4r1tTg_SNyxjvRNq0W3eOaM62aCohT8jTnb5UQvWRPyClX3Bjed2fk10WERD-jm6e8pOKWME90F5Y1_VIGVxaYcC6Z3uEYXMSR3kCeIwwBIr2KsH1HL4P3wZW4BMyv6arKhBET7HVqDdO477lY8r5B_Zzo_TpUwTQ7HEvCZ-TEQ8z4_Piek69X7-9XH5vr2w-fVhfXjRNK9g3nosOhZ1JLL0CiNJKh4c47D3Koh8EwKje0neOsZcCclhJQQce73miQ8py8Ouhu0_yjYF7sJmSHMR4utMoo0avWVNAcQJfmnBN6u01hA-mn5czu3bd_3bf_3Ld_3K-jL447yrDB8WHwaHcFXh4ByA6iTzC5kB84LRTjRleuPXC7OS6Y8vdYdpjsGiEua_u_35e_ATNanbQ</recordid><startdate>200510</startdate><enddate>200510</enddate><creator>Iwao, Fumiya</creator><general>by the American Society for Dermatologic Surgery, Inc</general><general>Blackwell</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200510</creationdate><title>Alar Reconstruction with Subcutaneous Pedicled Nasolabial Flap: Difficulties, Considerations, and Conclusions for This Procedure</title><author>Iwao, Fumiya</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2639-1125eb90373f2a3e3830e81cfcfa3b012abd6cb45c1040a0c733ae6a515987a33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Carcinoma, Basal Cell - surgery</topic><topic>Dermatology</topic><topic>Face - blood supply</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Mohs Surgery - methods</topic><topic>Nose Neoplasms - surgery</topic><topic>Rhinoplasty - methods</topic><topic>Skin plastic surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgical Flaps</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Iwao, Fumiya</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Dermatologic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Iwao, Fumiya</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Alar Reconstruction with Subcutaneous Pedicled Nasolabial Flap: Difficulties, Considerations, and Conclusions for This Procedure</atitle><jtitle>Dermatologic surgery</jtitle><addtitle>Dermatol Surg</addtitle><date>2005-10</date><risdate>2005</risdate><volume>31</volume><issue>10</issue><spage>1351</spage><epage>1354</epage><pages>1351-1354</pages><issn>1076-0512</issn><eissn>1524-4725</eissn><abstract>BACKGROUNDThe subcutaneous pedicled nasolabial flap is a useful material for alar reconstruction.
OBJECTIVEThis article describes the difficulties and considerations in this procedure and discusses the procedural problems involved, drawing conclusions from them.
METHODSCase 1a folded flap was used with a conchal cartilage strut sandwich. Case 2only a folded flap was used. Case 3the flap was used to cover the outer surface of the ala, and a mucoperiosteal graft from the hard palate was used for the ala lining.
RESULTSThe cartilage strut was not sufficient to support the shape of the ala in case 1. Harvesting a sufficiently wide flap is thought to be important. However, a folded flap had some drawbacks, with the formation of a thick alar rim.
CONCLUSIONSThe combination of a flap for the outer surface and a mucoperiosteal graft as a lining is thought to be an excellent option for alar reconstruction.</abstract><cop>Malden, MA</cop><pub>by the American Society for Dermatologic Surgery, Inc</pub><pmid>16188195</pmid><doi>10.1097/00042728-200510000-00019</doi><tpages>4</tpages></addata></record> |
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| ispartof | Dermatologic surgery, 2005-10, Vol.31 (10), p.1351-1354 |
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| language | eng |
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| source | MEDLINE; Journals@Ovid Complete; Wiley Online Library All Journals |
| subjects | Aged Biological and medical sciences Carcinoma, Basal Cell - surgery Dermatology Face - blood supply Female Humans Male Medical sciences Middle Aged Mohs Surgery - methods Nose Neoplasms - surgery Rhinoplasty - methods Skin plastic surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgical Flaps Treatment Outcome |
| title | Alar Reconstruction with Subcutaneous Pedicled Nasolabial Flap: Difficulties, Considerations, and Conclusions for This Procedure |
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