Non-rhinoplastic techniques for the reconstruction of trans- surgical defects in the nasal dorsum. Review article
Keywords:
Reconstructive Surgery, Nose, Wounds and Injuries, Regional AnatomyAbstract
The face for many centuries, has represented the focus of appearance. The middle facial third is its most important area and is therefore extremely vulnerable to facial deformities. Within it, the nose is the most important facial prominence. From years ago, his deformities were considered a curse, so many men were condemned to death. From this moment, the nasal reconstruction boom increases, and, currently, the evolution of techniques in nasal reconstruction is an extremely useful option to repair facial defects of any size. This review intends to update information on non-rhinoplastic techniques for the reconstruction of trans-surgical defects on the nasal dorsum. An evaluation of the available bibliography and previous research on the topic was carried out in the period from May 2018 to May 2023. 31 popular science magazines were considered. Articles published in English, Italian and Spanish were prioritized. The Pubmed, Ebsco, SciELO y Scopus databases were consulted. Of the 95 articles reviewed, the study was limited to 43 of them. Among the non-rhinoplasty techniques reviewed were healing by secondary intention, primary closure, grafts and flaps. There are factors that influence the selection of one or the other, such as: the diameter of the defect, its depth, location, texture and contour of the skin, mastery and professionalism of the surgeon, among others. There is no consensus on a technique of choice. With all of them, favorable results can be achieved by making a good selection and application of it.
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Koh IS, Sun H. A practical approach to nasal reconstruction in Asian patients. Arch Craniofac Surg. 2021 Oct;22(5):268-275. doi: 10.7181/acfs.2021.00465.
Kim MJ, Lim H, Park DH. Current strategies for aesthetic soft tissue refinement in nasal reconstruction. Arch Craniofac Surg. 2022 Jun;23(3):95-102. doi: 10.7181/acfs.2022.00689.
Shokri T, Kadakia S, Saman M, Habal MB, Kohlert S, Sokoya M, et al. The Paramedian Forehead Flap for Nasal Reconstruction: From Antiquity to Present. J Craniofac Surg. 2019 Mar/Apr;30(2):330-333. doi: 10.1097/SCS.0000000000004976.
Wei M, Bu X, Wang G, Zhen Y, Yang X, Li D et al. Nasal Reconstruction for Chinese Patients: A Retrospective Study. Research Square; 2022 Aug. doi: 10.21203/rs.3.rs-1932939/v1.
Espinosa Paz NI. Estudio de las diferentes técnicas reconstructivas faciales con colgajos cutáneos posterior a excéresis de carcinoma basocelular y sus complicaciones en pacientes del hospital general Guasmo Sur en el período 2017-2019. [Tesis de titulación-carrera de Medicina]. Guayaquil, GA: Universidad Católica de Santiago de Guayaquil, 2020.
Huentequeo MC, Siso CS, Unibazo ZA, Pino DD, Alister HJP, Mayer OC et al. Colgajos Locales en Reconstrucción Facial. Alternativas de Tratamiento. Int J Odontostomat. 2021 Jun;15(2):538-550. doi: 10.4067/S0718-381X2021000200538.
Fernández GCJ, Díez EME, Rodríguez MN. Anatomy and Design of Musculocutaneous Flaps in Nasal Reconstruction. Actas Dermosifiliogr. 2023 May;114(5):425-430. doi: 10.1016/j.ad.2022.12.002.
Paolino G, Cardone M, Didona D, Moliterni E, Losco L, Corsetti P, Schipani G, Lopez T, Calvieri S, Bottoni U. Prognostic factors in head and neck melanoma according to facial aesthetic units. G Ital Dermatol Venereol. 2020 Feb;155(1):41-45. doi: 10.23736/S0392-0488.17.05685-1.
Halani SH, Ma C, Pierce J, Sanniec K, Thornton JF. Nasal Reconstruction after Mohs Cancer Resection: Lessons Learned from 2553 Consecutive Cases. Plast Reconstr Surg. 2021 Jul 1;148(1):171-182. doi: 10.1097/PRS.0000000000008098.
Jeong M, Jun D, Kim J, Choi H, Shin D, Cho J, Lim Y, Lee M. Reconstruction of a large nasal defect using a folded forehead flap: a case report. Arch Aesthetic Plast Surg. 2022;28(1):40-43.
doi.org/10.14730/aaps.2021.00311. Inizio modulo
González GJF, Alcalá PD. Reconstrucción de defectos quirúrgicos por subunidades estéticas en pacientes con cáncer de piel no melanoma. Dermatología Cosmética, Médica y Quirúrgica. 2019;17(4):240-243.
Ferrell K, Eccles H, Lear W. Linear closure of surgical defects on the nose after intraoperative tissue relaxation as an alternative to a skin flap or graft. JAAD Case Rep. 2020 May 23;6(7):679-682. doi: 10.1016/j.jdcr.2020.05.017.
Grande DJ, Mezebish DS. Skin Grafting. Treatment & Management. [Internet]. Medscape. 2021 [citado el 11 de setiembre del 2023]. Disponible en: https://emedicine.medscape.com/article/1129479-treatment.
Losco L, Bolletta A, Pierazzi DM, Spadoni D, Cuomo R, Marcasciano M, et al.Reconstruction of the Nose: Management of Nasal Cutaneous Defects According to Aesthetic Subunit and Defect Size. A Review. Medicina (Kaunas). 2020 Nov 25;56(12):639. doi: 10.3390/medicina56120639.
Kim RS, Yi C, Kim HS, Jeong HY, Bae YC. Reconstruction of large facial defects using a combination of forehead flap and other procedures. Arch Craniofac Surg. 2022 Feb;23(1):17-22. doi: 10.7181/acfs.2021.00381.
Nolst Trenité GJ. Injertos en cirugía de rinoplastia. En: Open Access Atlas of Otolaryngology, Head & Neck Operative Surgery. University of Cape Town. 2022.
Blatière V. Injertos cutáneos: injertos de piel de grosor variable y total. EMC – Dermatología. 2021 Jun; 55(1):1-17. doi: 10.1016/S1761-2896(21)44711-4.
Seth AK, Ratanshi I, Dayan JH, Disa JJ, Mehrara BJ. Nasal Reconstruction Using the Integra Dermal Regeneration Template. Plast Reconstr Surg. 2019 Oct;144(4):966-970. doi: 10.1097/PRS.0000000000006072.
Aber AY, Hohman MH, Dreyer MA. Basic Flap Design. [Updated 2022 Aug 29]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan. [citado el 11 de setiembre del 2023]. Disponible en: https://www.ncbi.nlm.nih.gov/books/NBK563252/
Madison JC, Wang DT. Skin Flap Design. [Internet]. Medscape. 2023 [citado el 11 de setiembre del 2023. Disponible en: https://emedicine.medscape.com/article/875968-overview.
Fishman Z, Whyne CM, Fialkov JA. Forehead flap templates for nasal reconstruction digitally developed from 2D and 3D images. J Craniofac Surg. 2022 Ene-Feb 33;1(3):e78-e80. doi: 10.1097/SCS.0000000000008023.
Yang S, Truesdale C, Moyer J. Colgajos locales para reconstrucción facial. En: Open Access Atlas of Otolaryngology, Head & Neck Operative Surgery. University of Cape Town. 2022.
Cavaliere A, Maisto B, Zaporojan T, Giordano L, Sorbino L, Zaffiro A, et al. Extended rotation flap for reconstruction of partial thickness defects of the tip and nasal ala region: in search of better aesthetic results. JPRAS Open. 2021 May 21;29:82-88. doi: 10.1016/j.jpra.2021.05.004.
Mysore SV, Kalapurmat NM. Nose Reconstruction Using Local and Regional Flaps: The Challenges and Advantages. J Cutan Aesthet Surg. 2021 Jan-Mar;14(1):77-83. doi: 10.4103/JCAS.JCAS_113_19.
Robalino D, Castro D, Cuenca L, Serrano A. Reconstrucción nasal con colgajo frontal paramediano. Estudio retrospectivo. Metro Ciencia. 2020 abr 1;28(2):32-37. doi: 10.47464/MetroCiencia/vol28/2/2020/32-37.
Rao J, Rolekar NG, Goil P. Local facial flaps: a workhorse for reconstruction of facial malignancies defects. Int J Otorhinolaryngol Head Neck Surg. 2019 May;5(3):755-759. doi: 10.18203/issn.2454-5929.ijohns20191744.
De Abullarade J. Colgajo frontal paramediano de pedículo estrecho en reconstrucccion de cubierta nasal total: un caso interesante. Cir. plást. iberolatinoam. 2019 Mar; 45(1):45-49. doi: 10.4321/s0376-78922019000100008.
Cervenka B, Tollefson T, Pipkorn P. Técnica quirúrgica de reconstrucción nasal con colgajo frontal paramediano. En: Open Access Atlas of Otolaryngology, Head & Neck Operative Surgery. University of Cape Town. 2022 Oct.
Madorsky S, Do A, Meltzer O. Superior Extended Nasal Myocutaneous Island Flap: An Alternative to Forehead Flap Reconstruction of the Nose. Facial Plast Surg Aesthet Med. 2020 Jul/Aug;22(4):294-300. doi: 10.1089/fpsam.2020.0066.
Cavazos CJR, Rojas DPO, Martínez OV, Briz AR, Candiani JO. Colgajo frontal en cirugía dermatológica. Dermatología CMQ 2021;19(4):376-381.
Hernández MA, Manzo CHA, Adame MRY. Colgajo frontonasal para la cobertura de defecto de punta nasal secundario a resección de carcinoma basocelular. Cir Plast. 2020;30(2):133-136. doi: 10.35366/97678.
Shaye DA. The history of nasal reconstruction. Curr Opin Otolaryngol Head Neck Surg. 2021 Aug 1;29(4):259-264. doi: 10.1097/MOO.0000000000000730.
Abdelrahman EMA, Shoulah AAA, Ghazal SOB, Nchoukati MKB, Balbaa MA. Cheek advancement flap for nasal reconstruction following surgical excision of basal cell carcinoma: early outcome and patient satisfaction. Egyptian J Surgery. 2021 Jan–Mar 40(1): p 322-329. doi: 10.4103/ejs.ejs_347_20.
Rogel VM, Carmona RM, Moro BF, González RL, Sánchez CMP, Romero AG. Versatility of Tunneled Island Flaps for the Reconstruction of Facial Defects. Actas Dermosifiliogr. 2022 Feb;113(2):123-133. doi: 10.1016/j.ad.2021.06.001.
Okland TS, Lee YJ, Sanan A, Most SP. The Bilobe Flap for Nasal Reconstruction. Facial Plast Surg. 2020 Jun;36(3):276-280. doi: 10.1055/s-0040-1712160.
Mole RJ, Hohman MH, Sebes N. Bilobed Flaps. [Updated 2023 Aug 14]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan.
Molina MD, González GJ, Hernández PPE. Colgajo nasoglabelar en paciente con carcinoma basal en pared lateral de la nariz. Revista Electrónica Dr. Zoilo E. Marinello Vidaurreta. [Internet]. 2021 [citado el 11 de setiembre del 2023];46(6). Disponible en: https://revzoilomarinello.sld.cu/index.php/zmv/article/view/2887
Ferraresso MG, Molinari L, Ferrario D, et al. Uso del colgajo romboidal en la reparación de defectos quirúrgicos nasales. Dermatología CMQ. 2022;20(3):360-363.
Hon HH, Chandra SR. Rhomboid Flap. Atlas Oral Maxillofac Surg. Clin North Am. 2020Mar;28(1):17-22. doi: 10.1016/j.cxom.2019.11.005.
Ottenhof MJ, Meulendijks MZ, Lardinois A, Deibel D, van der Hulst R, van der Pot W, et al. Nasal tip defects: satisfaction with Rintala flap for reconstruction – a report of 38 cases. Eur J Plast Surg. 2022; 45(5): 741–5. doi: 10.1007/s00238-021-01924-z.
Moretti E, Alarcón D, Camargo J, Settecasi J, Barrovechio JC, Valvo C. Colgajo de Rintala: nuestra experiencia y modificación. Rev Col de Cirugía Plástica y Reconstructiva. 2019 Jun;25(1): 24-31.
Hitman T, Geerards D, Hoogbergen M. Nose tip defect reconstruction with a modified extended Rintala flap: A case report. Australas J Dermatol. 2023 Aug;64(3):397-399. doi: 10.1111/ajd.14107.
Eseme EA, Da Rocha D, Tremp M, Tzika E, Merat R, Kalbermatten DF et al. Rintala Flap and Posterior Perichondrial Cutaneous Graft: A Combined Approach for Nasal Tip Reconstruction. Plast Reconstr Surg Glob Open. 2022 May 6;10(5):e4316. doi: 10.1097/GOX.0000000000004316.
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