Nasal reconstruction: an analysis of a series of cases
| Autor: | Beatriz Buzzini Moura, Fernando Luiz Signore, Thaise Erani Buzzo, Luciano Portante Watanabe, Rinaldo Fischler, José Octávio Gonçalves de Freitas |
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| Jazyk: | English<br />Portuguese |
| Rok vydání: | 2016 |
| Předmět: | |
| Zdroj: | Revista Brasileira de Cirurgia Plástica, Vol 31, Iss 03, Pp 368-372 (2016) |
| Druh dokumentu: | article |
| ISSN: | 1983-5175 2177-1235 |
| DOI: | 10.5935/2177-1235.2016RBCP0060 |
| Popis: | INTRODUCTION: Nasal reconstruction is challenging because of the central position and role of the nose in the face. Minor defects in this region become obvious. A retrospective analysis of 146 nasal reconstruction surgeries in the Integrated Plastic Surgery Services of the Ipiranga Hospital (SICP-HI) was performed, evaluating the incidence of nasal defects, as well as the main surgical techniques performed in accordance with each nasal region. METHODS: A retrospective descriptive study through a review of 109 medical records and photograph archives of patients treated in SICP-HI, São Paulo, SP, from January 2011 to June 2014. RESULTS: A total of 146 surgeries were performed. The mean patient age was 67 years. Regarding the type of malignant tumors found, 104 (73%) were basal cell carcinoma and 3 (2%) were squamous cell carcinoma. The remaining 36 (25%) lesions were benign. The most affected nasal regions were as follows: nasal wing, 55 (38%); the dorsum, 36 (25%); tip, 26 (18%); sidewalls, 12 (8%); unspecified, 7 (5%); total involvement of the nose, 5 (3%); and the columella, 2 (1%). There was a preference for primary closure of the defect. However, if this was infeasible, local flaps were used, in agreement with the literature. CONCLUSION: The nasal aesthetic subunits can be reconstructed using a variety of surgical techniques. The surgeon should seek an appropriate aesthetic and functional outcome. |
| Databáze: | Directory of Open Access Journals |
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