Abstrato

Reconstruction of Nasal Defects with Skin Cancers

Niang D

Most of malign tumors of head and neck region often occur at the nose. Surgical methods like primary closure, skin grafts, local flaps and free tissue transfer are often used for reconstruction of those defects. Nasal dorsum, nasal tip, sidewalls, alar regions, columella and soft triangles are described as nine subunits of the nose and various reconstruction methods are described for every subunit. Local flaps are often advanced on the pivot point by rotating or advancing. The most commonly used local flaps in nasal reconstruction; bilobed, rhomboid, advancement, dorsal nasal and transposition flaps. Nasal dorsum skin is thin and mobile. Dorsal nasal flap, glabellar flap, forehead and full thickness skin could also be preferred for reconstruction of this region. Nasolabial flaps are the foremost preferred method for reconstruction of the nasal sidewall. Bilobed flap, dorsal nasal flap and forehead flap are the foremost preferred flap techniques within the nasal tip. Bilobed flap, nasolabial flap, paramedian forehead flap and Millard’s “gull-wing” flap are the well-liked methods to form reconstruction of alar region. The dimensions of the defect, its relation with neighboring structures, comorbid diseases of the patient, smoking and alcohol use are other important factors.