Subkütanöz pediküllü nazolabial ada flebi ile burnun orta kısım defektlerinin onarımı: İki Olgu Sunumu

Burnun orta kısmında bazal hücreli karsinomu olan iki olgu superiyor tabanlı subkütan pediküllü nazolabial ada flepleri kullanılarak tedavi edildi. Ameliyat sonrası hiçbir olguda total veya parsiyel flep kaybı olmadı ve takip süresince lokal yineleme görülmedi. Burnun orta defektlerinin yeniden yapı- landırılmasında subkütanöz pediküllü nazolabial flep, paramedian alın flebine alternatif olarak düşü- nülmelidir. Bu makalede burnun orta kısım defekt- lerinin onarımında subkütanöz pediküllü nazolabial ada flep yöntemi uygulanan iki olgu, literatür eşli- ğinde sunuldu

Reconstruction of the defects in the middle of the nose with subcutaneous pedicled nasolabial island flap: report of two cases

Two cases with basal cell carcinomas on the middle of the nose were treated by using subcutaneous pedicled nasolabial island flap. There were no partial or total flap losses in either case and neither of the cases had local recurrence during the follow-up period. The subcutaneous pedicled nasolabial flap should be considered to be an alternative to the paramedian forehead flap for the reconstruction of defects on the middle of the nose. In this article two cases in whom subcutaneous pedicled nasolabial island flap method was applied for the reconstruction of middle defects of the nose are presented in the light of the literature.

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  • Turan A, Kul Z, Türkaslan T, Ozyiğit T, Ozsoy Z. Reconstruction of lower half defects of the nose with the lateral nasal artery pedicle nasolabial island flap. Plast Reconstr Surg 2007;119:1767-72.
  • Aydin A. Reconstruction of alar defects with the use of medially based nasolabial turnover flaps. [Article in Turkish] Kulak Burun Bogaz Ihtis Derg 2004;12:6-10.
  • Silistreli OK, Demirdöver C, Ayhan M, Oztan Y, Görgü M, Ulusal BG. Prefabricated nasolabial flap for reconstruction of full-thickness distal nasal defects. Dermatol Surg 2005;31:546-52.
  • Guerrerosantos J, Dicksheet S. Nasolabial flap with simultaneous cartilage graft in nasal alar reconstruc- tion. Clin Plast Surg 1981;8:599-602.
  • Mclaren LR. Nasolabial flap repair for alar margin defects. Br J Plast Surg 1963;16:234-8.
  • Yotsuyanagi T, Yamashita K, Urushidate S, Yokoi K, Sawada Y. Nasal reconstruction based on aesthetic sub- units in Orientals. Plast Reconstr Surg 2000;106:36-44.
  • Da Silva G. A new method of reconstructing the columella with a naso-labial flap. Plast Reconstr Surg 1964;34:63-5.
  • Lazaridis N, Tilaveridis I, Karakasis D. Superiorly or inferiorly based “islanded” nasolabial flap for buccal mucosa defects reconstruction. J Oral Maxillofac Surg 2008;66:7-15.
  • Rohrich RJ, Barton FE, Hollier L. Nasal reconstruction. In: Aston SJ, Beasley RW, Thorne CHM editors. Grabb and Smith’s plastic surgery. 5th ed. Philadelphia: Lippincott- Raven Publishers; 1997. p. 513- 28.
  • Siddiqui A, Ditmars DM Jr. Island rotation flap for nasal reconstruction. Plast Reconstr Surg 2005; 116:1604-9.
  • Tellioglu AT, Tekdemir I, Saray A, Eker E. Reconstruction of proximal nasal defects with island composite nasal flaps. Plast Reconstr Surg 2005;115:416-22.
  • Merick FJ. The nose. In: Achauer BM, Eriksson E, Guyuron B, Coleman JJ III, editors. Plastic surgery: indications, operations, and outcomes. Vol. III. St. Louis: Mosby; 2000. p. 1465-94.
  • Matarasso A, Strauch B. Bilobed nasal skin flaps. In: Strauch B, Vasconez LO, Hall-Findlay EJ edi- tors. Grabb’s encyclopedia of flaps. Vol. 1, 2nd ed. Philadelphia: Lippincott-Raven; 1998. p. 135-7.
  • Aygenç E, Beriat K, Kaymakçi M, Ozbek C, Ozdem C. Reconstruction of nasal cutaneous defects with the use of supratrochlear artery-based paramedian fore- head flap. [Article in Turkish] Kulak Burun Bogaz Ihtis Derg 2002;9:282-5.
  • Uchinuma E, Matsui K, Shimakura Y, Murashita K, Shioya N. Evaluation of the median forehead flap and the nasolabial flap in nasal reconstruction. Aesthetic Plast Surg 1997;21:86-9.
  • Mureau MA, Moolenburgh SE, Levendag PC, Hofer SO. Aesthetic and functional outcome following nasal reconstruction. Plast Reconstr Surg 2007;120:1217-27.
  • Jewett BS. History of nasal reconstruction. In: Shan R. Baker, editor. Principles of nasal reconstruction. St. Louis: Mosby; 2002. p. 2-12.
  • Barron JN, Emmett AJ. Subcutaneous pedicle flaps. Br J Plast Surg 1965;18:51-78.
  • Fosko SW, Dzubow LM. Nasal reconstruction with the cheek island pedicle flap. J Am Acad Dermatol 1996;35:580-7.