Detail repair technique for alar deformity after the first stage reconstruction of alar defect
10.3760/cma.j.issn.1009-4598.2018.11.011
- VernacularTitle: 鼻翼缺损一期整复术后细节修复技巧
- Author:
Qinqin ZHAO
1
;
Xiaobo YOU
;
Zhen CAI
;
Quan LIU
Author Information
1. Sichuan Graduate School of Southwest Medical University, Luzhou 646000, China
- Publication Type:Journal Article
- Keywords:
Defect of nasal ala;
Local skin flap;
Z-plasty;
V-Y advancement flap
- From:
Chinese Journal of Plastic Surgery
2018;34(11):935-938
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To sum up the repair techniques of secondary alar deformity after the first phase reconstruction of alar defect.
Methods:From January 2010 to December 2017, 17 patients with secondary alar deformity were included. Secondary alar deformities after the first stage reconstruction of alar defect included the abnormalities of alar groove line, absence of alar-cheek groove and the notch of alar rim. Z-plasty, V-Y advanced flaps, local skin flap and other technologies were introduced to repair details.
Results:Infection was found in one case of the reconstruction of the alar-cheek groove and the wound was healed by treatment. There was no necrosis occurred in other flap. The shape of the alar was satisfactory and the anterior nostril was not narrow. Patients were followed up for 1 month to 1 year. The average follow-up time was 5 months. No recurrence of nasal alar tumor was found. The patients were satisfied with the appearance.
Conclusions:The symmetrical and satisfactory nasal shape can be obtained with local flaps such as Z-plasty, V-Y advancement of flaps for secondary alar deformities.
