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Staged Bilateral Nasal Alar Reconstruction with Free Vascularized Helical Root Flaps, Case Report  

Woo, Kyong Je (Department of Plastic Surgery, Samsung Medical Center Sungkyunkwan University, School of Medicine)
Lim, So Young (Department of Plastic Surgery, Samsung Medical Center Sungkyunkwan University, School of Medicine)
Pyon, Jai Kyong (Department of Plastic Surgery, Samsung Medical Center Sungkyunkwan University, School of Medicine)
Mun, Goo Hyun (Department of Plastic Surgery, Samsung Medical Center Sungkyunkwan University, School of Medicine)
Bang, Sa Ik (Department of Plastic Surgery, Samsung Medical Center Sungkyunkwan University, School of Medicine)
Oh, Kap Sung (Department of Plastic Surgery, Samsung Medical Center Sungkyunkwan University, School of Medicine)
Publication Information
Archives of Plastic Surgery / v.36, no.6, 2009 , pp. 788-791 More about this Journal
Abstract
Purpose: Reconstruction of full - thickness defects of the nasal ala has always been a challenge. Local flaps can be used easily, and good result can be achieved when it is indicated. But local flaps often result in facial scars and bulky ala that require secondary revisions. Composite auricular chondrocutaneous graft may matches nasal alae well in terms of contour, color and texture, however, the size of composite graft is limited. We performed free vascularized helical root flaps for reconstruction of nasal ala. Methods: Bilateral ala were excised and the defects were reconstructed with a chondrocutaneous free helical root flap. Each side of ala was reconstructed in 3 months interval. Superficial temporal vessels of vascularized helical root flap were anastomosed to facial vessels. Great saphenous vein was used for interpositional vascular graft. Results: Flaps were survived successfully. The contour, texture and color match were satisfactory. Functional problem of nasal obstruction caused by scar stenosis of nostrils was also resolved. Conclusion: The free vascularized helical root flap is a reliable method in reconstruction of nasal alar defects. The donor deformity was minimal.
Keywords
Nasal alar reconstruction; Helical root flap;
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1 Shenaq SM, Dinh TA, Spira M: Nasal alar reconstruction with an ear helix free flap. J Reconstr Microsurg 5: 63, 1989   DOI   ScienceOn
2 Mclaren LR: Nasolabial flap repair for alar margin defect. Br J Plast Surg 16: 234, 1963   DOI   PUBMED   ScienceOn
3 Menick FJ: Nasal reconstruction: forehead flap. Plast Reconstr Surg 113: 100, 2004   DOI   PUBMED   ScienceOn
4 Zhang YX, Yang J, Wang D, Ong YS, Follmar KE, Zhang Y, Erdmann D, Zenn MR, Qian Y, Levin LS: Extended application of vascularized preauricular and helical rim flaps in reconstruction of nasal defects. Plast Reconstr Surg 121: 1589, 2008   DOI   PUBMED   ScienceOn
5 Lehman JA Jr, Garrett WS Jr, Musgrave RH: Earlobe composite grafts for the correction of nasal defects. Plast Reconstr Surg 47: 12, 1971   DOI   ScienceOn
6 Parkhouse N, Evans D: Reconstruction of the ala of the nose using a composite free flap from the pinna. Br J Plast Surg 38: 306, 1985   DOI   ScienceOn
7 Park C, Lineaweaver WC, Rumly TO, Buncke HJ: Arterial supply of the anterior ear. Plast Reconstr Surg 90: 38, 1992   DOI   PUBMED   ScienceOn
8 Ozek C, Gurler T, Uckan A, Bilkay U: Reconstruction of the distal third of the nose with composite ear-helix free flap. Ann Plast Surg 58: 74, 2007   DOI   ScienceOn