Objectives: understanding the special anatomy of the nasal pyramid
understanding the criteria for choosing which flap to close a local defect in the nose area
tipps and tricks to consider in reconstructive surgery of the nose
Introduction: The complex three dimensional anatomy of the nasal pyramid is always a challenge to reconstruct, specially in skin cancer surgery with local flaps after excision.
Materials / method: In a retrospective study of 350 patients who have been operated between 2013 and 2022 we analyze the aesthetic result and function after reconstructive surgery of the nose , concerning the different localization of the cancer and le chosen local flaps of reconstruction. Complications and special difficulties in this type of surgery are discussed.
Results: Our preferred and mostly used local flaps are the glabellar flap for defects of the upper third of the nasal pyramid , Rieger/ Marchac flap for the lower third of the nasal pyramid / nasal tip, the bilobed flap for defects of the lateral portion of the nasal pyramid and nasolabial fold advancement flaps to close defects of the alar area .
Conclusion: Respecting the aesthetic units and taking consideration of the complex anatomy of the external nose we give some guidelines to get optimal form and function in reconstructive surgery of the nose.
Disclosures
Did you receive any funding to support your research for this TOPIC?
No
Were you provided with any honoraria, payment or other compensation for your work on this study?
No
Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No
Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No
This work was not supported by any direct or non direct funding. It is under the author's own responsability