A Review of Common Local Flaps for Coverage of Skin Defects of the Nose: Clinical Experience in Ten Cases

Document Type : Original Article

Authors

The Department of General Surgery, Plastic Surgery Unit, Faculty of Medicine, Cairo University

Abstract

The nose is considered an important structure in the face
from both the cosmetic and functional point of view. It is the
most projecting part in the face; hence any disfigurement is
obvious and cannot be hidden. Skin defects may occur due
to many reasons including post traumatic and post ablative
following excision of skin cancer. There are various methods
for coverage according to the reconstructive ladder. However,
due to its importance, local flaps are always preferable to skin
grafts as this produces like with like replacement including
good padding with well vascularized tissue, pliable coverage,
sensate tissue with better contouring, texture and color matching
when compared to skin grafting. In this paper, although
many flaps are described in literature, but most defects of the
nose can be best closed by three common flaps used in this
area. These flaps are reviewed including forehead flap, nasolabial
flap and bilobed flap with the authors' personal
experience in this field. Ten cases were operated upon by the
authors in Kasr Al-Aini Hospital between February 2016 to
July 2016 and followed-up for the following six months. All
these flaps survived with a satisfactory patient outcome in
most patients

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