PARANASAL FLAP FOR NASAL ALAR LOBULE AND MARGIN RECONSTRUCTION: A CASE REPORT
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Keywords
nasal alar, Defects, OPD, nasal lobule
Abstract
The nasal ala is a paired part of the nostril that is vital for maintaining nasal symmetry and functionally important in the maintenance of the nasal opening. Defects of the nasal alar region are challenging and difficult to reconstruct, given its complex structure. Successful repair of these defects needs to provide aesthetic symmetry and preserve nasal function.2
Advantage of the paranasal flap is a donor site that is a good match for the ala and lacks terminal hairs. Additional advantages have become evident with time. First, the axis of rotation is 90 degree or less, thus necessitating a shorter flap and placing less torsional constriction on the flap’s vascular pedicle. This is a novel flap whose use is in patients with small-medium defects. The advantages include excellent final cosmetics with regard to contour, color, texture, lack of hair transfer, minimal risk of alar margin distortion and cheek asymmetry, and overall lower morbidity.
References
DOI: 10.1111/j.1524-4725.2009.01106.x
2. Comprehensive Algorithm for Nasal Ala Reconstruction: Utility of the Auricular Composite Graft Collin Chen, MD,1 Ruchin Patel, MD,1 and John Chi, MD1
DOI: 10.1055/s-0038-1639581
3. Shan R. Baker Chapter 12: Melolabial Flap in Local Flaps in Facial Reconstruction (2nd Ed.), Elsevier, China (2007)
4. Berish Strauss, Luis O. Vasconez, Charles K. Herman, Bernard T. Lee Grabb Encyclopedia of Flaps Head and Neck Volume One (4th Ed.), LWW (2015)
5. S.R. Baker, T.M. Johnson, B.R. Nelson The importance of maintaining the alar facial sulcus in nasal reconstruction Arch. Otolaryngol. Head Neck Surg., 101 (1995), p. 617
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Hardik Gupta
Post-graduate resident, Department of Oral and Maxillofacial Surgery, Mahatma Gandhi dental college and hospital, Jaipur, Rajasthan, India S- 72,73 Mahaveer Nagar Tonk Road , Rajasthan-302018
Vikas Kunwar Singh
Professor and Head of the Department, Department of Oral and Maxillofacial Surgery
Ruchika Tiwari
Professor Department of Oral and Maxillofacial Surgery
Sakshi Kudal
Post-Graduate Resident, Department of Orthodontics & Dentofacial Orthopedics
Prashansa Gaikwad
Post-Graduate Resident,, Department of Oral and Maxillofacial Surgery