A number of techniques is currently available to reconstruct the nose. This paper presents preliminary results obtained in the reconstruction of partial loss of nasal tissue with the use of an island fascio-cutaneous flap with reverse arterial flow prepared on the angular artery. Between January 1993 and January 1995, nine patients with skin cancer of the nose were thus treated (8 basocellular and one squamous cell carcinomas). They were followed-up for 2-26 months. Patient n° 4 presented a partial defect of venous flow which resulted in necrosis of 2% of the flap skin and subsequent poor cosmetic outcome. In patient n° 6 the skin island was too thick and further surgery under local anaesthesia was required. No complications were noted at the donor site. We can therefore assume that the retroangular flap can be used in place of other techniques, mainly because it has its own vascular pedicle; there are no sequelae for the donor site, it has a wide range of rotation and allows reconstruction in a single step.
|Translated title of the contribution||Retroangular flap in the reconstruction of the nose|
|Number of pages||5|
|Journal||Rivista Italiana di Chirurgia Plastica|
|Publication status||Published - 1996|
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