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2022, Number 1

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Finlay 2022; 12 (1)

Reconstruction of the Nasal Wings with the Inverted Flap Technique. Presentation of Two Cases

Rojas BR, Quintana DJC, Hechavarría JY
Full text How to cite this article

Language: Spanish
References: 7
Page: 93-99
PDF size: 278.71 Kb.


Key words:

reconstructive surgical procedures, surgical flaps, nose, case reports.

ABSTRACT

Nasal reconstruction was born in India, 3000 years before our era. Nasal reconstruction has followed three basic lines: the Indian method, using the median frontal flap; the French method with the lateral cheek flap; and the Italian method with the brachial flap. Flaps allow the reconstruction of defects by restoring nasal shape and function. The classic method for reconstructing the ala nasal is the nasolabial flap. The nasolabial flap has specific characteristics in terms of location, size, circulatory pattern, vascularization, innervation, and function. We present two cases of patients treated at the Princess Marina Hospital in Botswana in Africa, who required inverted nasolabial flaps for the reconstruction of their nasal wings. After the application of the procedure, the affected nasal wing was recovered, returning functionality, harmony, symmetry and order in both cases in relation to the contralateral wing in the absence of complications. The inverted nasolabial flap is useful to restore the contour of the nasal wing, as well as to support the wing and to shape the nasal floor. This flap can have a minimum of complications if the structures are handled gently and the sutures are handled without tension. That cases are presented because of how interesting this type of intervention is, carried out by Cuban specialists in their medical collaboration in an african country.


REFERENCES

  1. Sánchez L, García D. Reconstrucción de defectos totales del ala nasal utilizando el colgajo frontal. Medisur[Internet]. 2017[citado 7 Mar 2021];15(3):[aprox. 7p.]. Disponible en: https://scielo.sld.cu/pdf/ms/v15n3/ms14315.pdf.

  2. Palacios J, Moreno E. Reconstrucción nasal: colgajo nasogeniano. Presentación de un caso. Medicina[Internet]. 2008[citado 7 Mar 2021];14(1):[aprox. 10p.]. Disponible en: https://editorial.ucsg.edu.ec/ojs-medicina/index.php/ucsg-medicina/article/download/221/183.

  3. Martínez MM, Ferrario D, Mazzuoccol LD. Usos del colgajo de avance en rompecabezas, o jigsaw puzzle, en dermatología quirúrgica. Dermatología CMQ[Internet]. 2020[citado 7 Mar 2021];18(2):[aprox. 3p.]. Disponible en: https://www.medigraphic.com/pdfs/cosmetica/dcm-2020/dcm202b.pdf.

  4. Brenes E, Piccolo L. Técnicas de reconstrucción nasal tras resección de un carcinoma basocelular. Rev Clin Esc Med CR[Internet]. 2016[citado 7 Mar 2021];6(1):[aprox. 10p]. Disponible en: Disponible en: https://www.medigraphic.com/pdfs/revcliescmed/ucr-2016/ucr161l.pdf .

  5. Sánchez L, Aguilar J, Gálvez JC, Acosta R, Vázquez CL. Reconstrucción de defectos totales del ala nasal en pacientes oncológicos. Rev Cubana Cir[Internet]. 2018[citado 7 Mar 2021]; 57(3):[aprox. 11p.]. Disponible en: https://scielo.sld.cu/pdf/cir/v57n3/1561-2945-cir-57-03-e680.pdf.

  6. Azcona M, Loidi L, Aróstegui J, Iglesias ME. Colgajo combinado invertido de dorso nasal y de avance-rotación para reparación de defecto de espesor total en punta y pared lateral nasal. Actas Dermosifiliogr[Internet]. 2020[citado 7 Mar 2021];111(9):[aprox. 2p.]. Disponible en: https://www.actasdermo.org/index.php?p=revista&tipo=pdf-simple&pii=S0001731020302817.

  7. Godoy E, Palacio L, González M. Reconstrucción del ala nasal mediante colgajo malar invertido de pedículo subcutáneo. Actas Dermosifiliogr[Internet]. 2015[citado 7 Mar 2021];106(3):[aprox. 4p.]




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