Improved nasal trumpet: "In-house" device to promote the healing of skin grafts in the anterior nasal nostril.

Autor: Aragón Niño Í; Oral and Maxillofacial Surgery Department, La Paz University Hospital, Paseo de la Castellana 261, 28046 Madrid, Spain. Electronic address: inigo.aragon@salud.madrid.org., Morante Silva M; Division of Head and Neck Surgery, Department of Oral and Maxillofacial Surgery, UF Health Jacksonville, Jacksonville, FL, USA., Fernandes RP; Division of Head and Neck Surgery, Department of Oral and Maxillofacial Surgery, UF Health Jacksonville, Jacksonville, FL, USA.
Jazyk: angličtina
Zdroj: Annales de chirurgie plastique et esthetique [Ann Chir Plast Esthet] 2024 Sep; Vol. 69 (5), pp. 465-467. Date of Electronic Publication: 2024 Jul 14.
DOI: 10.1016/j.anplas.2024.06.004
Abstrakt: This technical note addresses the complexities of reconstructive surgery for malignant skin lesions in the lower nasal aperture and pericolumellar region. Traditional solutions, such as free skin grafts, face challenges in maintaining attachment to the surgical site without adequate support. Nasal packing, a common approach, obstructs the nasal opening and compromises air passage, hindering ventilation. The use of a nasal trumpet has proven beneficial in maintaining nasal patency in various cases, but it falls short of addressing the specific challenges posed by reconstructive surgery. The proposed solution involves a novel device comprising a nasal cannula, surgical sponge, and fine mesh gauze with 3% bismuth tribromophenate. This combination serves a triple purpose: the nasal cannula facilitates air passage, the surgical sponge applies controlled pressure around the nasal opening to aid graft adhesion, and the gauze with bismuth tribromophenate promotes wound healing and prevents infection. The assembled device is inserted into the nostril, anchored to the patient's skin with silk stitches. This innovative approach offers a practical solution for maintaining nasal patency, promoting graft adherence, and supporting wound healing in reconstructive surgery.
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Databáze: MEDLINE
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