Reconstrucción nasal con colgajo frontal  paramediano. Estudio restrospectivo

Diego Robalino; Daysi Castro; Lily Cuenca; Armando Serrano

doi:10.47464/MetroCiencia/vol28/2/2020/32-37

Authors

Diego Robalino Universidad San Francisco de Quito https://orcid.org/0000-0001-5871-1516
Daysi Castro Universidad Católica Santiago de Guayaquil https://orcid.org/0000-0002-0177-0002
Lily Cuenca Universidad Central del Ecuador https://orcid.org/0000-0002-0410-4670
Armando Serrano Hospital Metropolitano https://orcid.org/0000-0002-0382-5679

DOI:

https://doi.org/10.47464/MetroCiencia/vol28/2/2020/32-37

Keywords:

Perforating Flap, Nasal reconstruction, Nose, Reconstructive Surgical Procedures, Transplants

Abstract

Background and objective: Nasal defects can be caused by several causes, the most common of which are malignant cutaneous neoplasms and trauma. The frontal region is considered as an ideal donor site for nasal reconstruction due to the quality, size and vascularization of the skin. The goal of nasal reconstruction is to restore its contour as normal as possible, avoiding distortion of nasal appearance. Patients and Method: In a 5-year period, from june 2011 to april 2016, twenty-eight nasal reconstructions were performed in patients with oncological defects using forehead flap. We reviewed the medical records of all patients obtaining data such as the type of pathology, sex, age, type of reconstruction and complications. Results: Twenty-eight patients aged 29-86 years (mean age of 67.9 years) were treated using this flap. In 57.1% (16 patients) required cartilage grafts and reconstruction of the internal nasal layer. There were few complications, the most frequent being partial necrosis of the distal border (7.1%). The final aesthetic and functional results were considered by the surgical team as good or excellent in most cases. Conclusions: The use of forehead flap is an excellent alternative in the reconstruction of nasal defects larger than 1.5 cm, because it provides a broad skin cover of similar characteristics to the color and texture of the nasal skin. Because of the great vascularization of this flap, the risk of complications is reduced allowing very good esthetic and functional results.

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Author Biographies

Diego Robalino, Universidad San Francisco de Quito

Especialista en Cirugía Oral y Maxilofacial; Quito, Ecuador
Daysi Castro, Universidad Católica Santiago de Guayaquil

Médico residente posgrado de Cirugía Plástica, reconstructiva y estética; Guayaquil, Ecuador
Lily Cuenca, Universidad Central del Ecuador

Médico residente de Posgrado de Urología; Quito, Ecuador
Armando Serrano, Hospital Metropolitano

Médico Especialista en Cirugía Plástica y Reconstructiva; Quito, Ecuador

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