Nasolabial Flaps for Nasal Reconstruction: Pros and Cons
TURKISH JOURNAL OF PLASTIC SURGERY, sa.4, ss.151-155, 2018 (ESCI)
- Yayın Türü: Makale / Tam Makale
- Basım Tarihi: 2018
- Doi Numarası: 10.4103/tjps.tjps_37_18
- Dergi Adı: TURKISH JOURNAL OF PLASTIC SURGERY
- Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI)
- Sayfa Sayıları: ss.151-155
- İstanbul Üniversitesi-Cerrahpaşa Adresli: Hayır
Özet
Nasolabial flaps arc one of the most preferred methods for nasal reconstruction. Lots of modifications of nasolabial flaps were defined. V-Y or hatchet type advancement, transposition, subcutaneous pedicled, two-stage interpolation, and propeller types are commonly used. Objective: The objective of the study is to evaluate the nasal reconstructions with nasolabial flaps according to subunits and defining the advantages and disadvantages for each subunit. Patients and Methods: Patients whose nasal defects were reconstructed with nasolabial flaps in the last 5 years were evaluated in this study. Results: Ninety-one patients whose nasal defects were reconstructed with nasolabial flaps were included in this study. V-Y advancement, hatchet type advancement, transposition, subcutaneous pedicled, two-stage interpolation, and propeller type nasolabial flaps were used for reconstruction of defects. The most common complication was trap-door deformity that was followed by alar distortion and venous congestion. Conclusion: V-Y or hatchet type advancement flaps and subcutaneous pedicled type should be preferred for sidewalls and dorsum defects, respectively. Two-stage interpolation type gives the best results for tip region defects. Propeller and transposition type Haps should be the choice of treatment in alar region defects.