Nasal reconstruction: Our experience

A. Baj, A. Russillo, E. Segna, M. Romano, A. Bolzoni, F. J. Silvestre, A. B. Gianni, G. A. Beltramini

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

The nose is a critically important aesthetic and functional portion of the face. We can explore nasal defects following trauma or tumor resections. Reconstructive techniques based on primary closure, skin graft, local flap, regional flap and microvascular free tissue transfer provides an algorithmic framework applicable to any reconstructive problem. From 2010 to 2016, 33 patients were treated with nasal reconstruction. Malignant tumor resection was the main cause of nasal defect. The most common tumor resected was BCC (basal cell carcinoma) followed by SCC (squamous cell carcinoma). Recurrence of malignant tumor were also treated. As described in the literature, we used the most common reconstructive techniques to handle post-resection defects. Most of the defects involved the dorsum and the ala of the nose, only rarely had the skeleton been affected by the resection. When the cartilage had been sacrificed, a graft from the septum or from the ear flap was harvested. All patients resulted in optimal reconstruction. In any case, a second surgery was needed. All the surgical procedures were performed in one single stage except for the paramedian forehead flap that required a second stage for division and inset of the flap. All donor sites did not show functional and aesthetic damage. All patients resulted in a morpho-functional restoration of the area affected by the resection with a high success rate. Following the algorithm whenn restoring the anatomical subunit is the base purpose has determined satisfactory results.

Original languageEnglish
Pages (from-to)169-174
Number of pages6
JournalJournal of Biological Regulators and Homeostatic Agents
Volume31
Issue number2, Supplement 1
Publication statusPublished - Jun 1 2017

Fingerprint

Nose
Esthetics
Neoplasms
Transplants
Forehead
Free Tissue Flaps
Basal Cell Carcinoma
Skeleton
Cartilage
Ear
Squamous Cell Carcinoma
Tissue Donors
Recurrence
Skin
Wounds and Injuries

Keywords

  • Aesthetic
  • Flap
  • Nose
  • Recostrunction
  • Subunit

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Immunology and Allergy
  • Physiology
  • Immunology
  • Oncology
  • Endocrinology
  • Physiology (medical)
  • Cancer Research

Cite this

Baj, A., Russillo, A., Segna, E., Romano, M., Bolzoni, A., Silvestre, F. J., ... Beltramini, G. A. (2017). Nasal reconstruction: Our experience. Journal of Biological Regulators and Homeostatic Agents, 31(2, Supplement 1), 169-174.

Nasal reconstruction : Our experience. / Baj, A.; Russillo, A.; Segna, E.; Romano, M.; Bolzoni, A.; Silvestre, F. J.; Gianni, A. B.; Beltramini, G. A.

In: Journal of Biological Regulators and Homeostatic Agents, Vol. 31, No. 2, Supplement 1, 01.06.2017, p. 169-174.

Research output: Contribution to journalArticle

Baj, A, Russillo, A, Segna, E, Romano, M, Bolzoni, A, Silvestre, FJ, Gianni, AB & Beltramini, GA 2017, 'Nasal reconstruction: Our experience', Journal of Biological Regulators and Homeostatic Agents, vol. 31, no. 2, Supplement 1, pp. 169-174.
Baj A, Russillo A, Segna E, Romano M, Bolzoni A, Silvestre FJ et al. Nasal reconstruction: Our experience. Journal of Biological Regulators and Homeostatic Agents. 2017 Jun 1;31(2, Supplement 1):169-174.
Baj, A. ; Russillo, A. ; Segna, E. ; Romano, M. ; Bolzoni, A. ; Silvestre, F. J. ; Gianni, A. B. ; Beltramini, G. A. / Nasal reconstruction : Our experience. In: Journal of Biological Regulators and Homeostatic Agents. 2017 ; Vol. 31, No. 2, Supplement 1. pp. 169-174.
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