SciELO - Scientific Electronic Library Online

 
vol.48 issue1Lung metastasectomy: experience of eleven years author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

  • Have no cited articlesCited by SciELO

Related links

  • Have no similar articlesSimilars in SciELO

Share


Revista Cubana de Cirugía

Print version ISSN 0034-7493On-line version ISSN 1561-2945

Abstract

GALVEZ CHAVEZ, Julio César  and  SANCHEZ WALS, Lenia. Usefulness of the forehead flap in the nasal reconstruction. Rev Cubana Cir [online]. 2009, vol.48, n.1. ISSN 0034-7493.

ABSTRACT INTRODUCTION. The nose is the aesthetic center of the face and any deformity in it significantly affects facial harmony. This study was aimed at characterizing the experiences in nasal reconstruction with forehead flap in patients with anatomical defects of the nose as a result mainly of oncological surgery. METHODS. A descriptive and prospective study was conducted to characterize the experience of nose reconstruction with forehead flaps in patients with nasal defects attended at the National Institute of Radiology and Biology of Cuba and at the Plastic Surgery Department of "Hermanos Ameijeiras" Hospital, from June 1999 to May 2007. The sample included 23 patients aged 18-89.. All of them were from Caucasian origin, basically of male sex. The majority of them were over 60 years old. RESULTS. The main cause of the nose reconstruction was the neoplastic lesion with the same number of patients affected by basocellular carcinoma and epidermoid carcinoma. 5 patients had tumor recurrence. The nasal ala was the most affected zone. It was possible to create an external cover on the defect in all cases. The oblique design was the most used. The internal nasal cover was mainly reconstructed with total skin graft, and the nasal support with mostly cartilaginous grafts of the auricular concha. All the forehead flaps were vital after their disconnection in the second surgical time. The direct closure of the donor zone was the most used and in some cases it was attained by using tissue expansion. A third remodeling was carried out in those patients who needed it. The complications did not affect the final result of the reconstruction. CONCLUSIONS. It was proved the usefulness and validity of the forehead flaps for nasal reconstructions.

Keywords : Nasal reconstruction; forehead flaps.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )

 

Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License