Prelaminated free radial forearm flap for a total nasal reconstruction

被引:24
作者
Sinha, M. [1 ]
Scott, J. R. [1 ]
Watson, S. B. [1 ]
机构
[1] Glasgow Royal Infirm, Canniesburn Plast Surg Unit, Glasgow G4 0SF, Lanark, Scotland
关键词
nasal reconstruction; free radial forearm flap; prefabrication; prelamination;
D O I
10.1016/j.bjps.2007.10.068
中图分类号
R61 [外科手术学];
学科分类号
摘要
A prelaminated osteocutaneous radial forearm flap has previously been described for total nasal reconstruction, but achieving good aesthetics at the dorsum and tip tends to be difficult with a flap that can be too bulky. We present a case of total nasal reconstruction in a burns patient where a tight adherent scar at the forehead precluded the use of a forehead flap, ideal. for such reconstructions. We successfully used a prelaminated free radial forearm flap, with a non-vascularised bone graft. The existing scarred skin at the dorsum was turned down as pedicted flaps for the lining. We were able to achieve a successful total nasal reconstruction which was aesthetically pleasing and made a tremendous impact on the quality of life of the patient. (C) 2008 Published by Elsevier Ltd on behalf of British Association of Plastic, Reconstructive and Aesthetic Surgeons.
引用
收藏
页码:953 / 957
页数:5
相关论文
共 7 条
[1]  
Burget G C., 1994, Aesthetic Reconstruction of the Nose
[2]   PREFABRICATED FLAPS FOR THE HEAD AND NECK - A PRELIMINARY-REPORT [J].
COSTA, H ;
CUNHA, C ;
GUIMARAES, I ;
COMBA, S ;
MALTA, A ;
LOPES, A .
BRITISH JOURNAL OF PLASTIC SURGERY, 1993, 46 (03) :223-227
[3]   Aesthetic reconstruction of the nose following skin cancer [J].
Kline, RM .
CLINICS IN PLASTIC SURGERY, 2004, 31 (01) :93-+
[4]  
PARK SS, 1995, ARCH OTOLARYNGOL, V121, P1122
[5]   Prelaminated free flap reconstruction of complex central facial defects [J].
Pribaz, JJ ;
Weiss, DD ;
Mulliken, JB ;
Eriksson, E .
PLASTIC AND RECONSTRUCTIVE SURGERY, 1999, 104 (02) :357-365
[6]   Microsurgical reconstruction of the nasal lining [J].
Walton, RL ;
Burget, GC ;
Beahm, EK .
PLASTIC AND RECONSTRUCTIVE SURGERY, 2005, 115 (07) :1813-1829
[7]  
WEISS DW, 1998, OSSEOINTEGRATION CRA