Aesthetic Evaluation After Three-Dimensional Shaping of Free Flap for Nasal Reconstruction without Additional Paramedian Forehead Flap

Authors

  • Parintosa Atmodiwirjo Reconstructive Microsurgery Section, Division of Plastic Surgery, Faculty of Medicine Universitas Indonesia, dr. Cipto Mangunkusumo National Hospital. Jakarta, Indonesia. https://orcid.org/0000-0002-8912-0468
  • Reinhart Jonathan Reconstructive Microsurgery Section, Division of Plastic Surgery, Faculty of Medicine Universitas Indonesia, dr. Cipto Mangunkusumo National Hospital. Jakarta, Indonesia. https://orcid.org/0000-0002-0630-4633
  • Mohamad Rachadian Ramadan Reconstructive Microsurgery Section, Division of Plastic Surgery, Faculty of Medicine Universitas Indonesia, dr. Cipto Mangunkusumo National Hospital. Jakarta, Indonesia. https://orcid.org/0000-0003-2231-9314
  • Sara Ester Triatmoko Reconstructive Microsurgery Section, Division of Plastic Surgery, Faculty of Medicine Universitas Indonesia, dr. Cipto Mangunkusumo National Hospital. Jakarta, Indonesia.
  • Maryam Nur Erina Reconstructive Microsurgery Section, Division of Plastic Surgery, Faculty of Medicine Universitas Indonesia, dr. Cipto Mangunkusumo National Hospital. Jakarta, Indonesia.
  • Nadhira Anindita Ralena Reconstructive Microsurgery Section, Division of Plastic Surgery, Faculty of Medicine Universitas Indonesia, dr. Cipto Mangunkusumo National Hospital. Jakarta, Indonesia. https://orcid.org/0000-0001-6359-1715

DOI:

https://doi.org/10.14228/jprjournal.v9i2.344

Keywords:

Free flaps, Microsurgery, Reconstructive surgery

Abstract

Nasal reconstruction has continued to advance in accordance with Menick's vision as it was first conceived. His combination of radial forearm free flaps with the gold standard of paramedian forehead flaps is highly regarded for producing superior outcomes, and it has received widespread praise as a consequence. In this study, we present nine patients who had nose reconstruction using free flaps. All of the patients had successful outcomes. Using the FACE-Q questionnaire, we assessed the degree to which patients were satisfied with both the functional and aesthetic aspects of their appearance. The outcomes were positive for nine of the patients.

References

Papaspyrou G, Schick B, Schneider M, et al.. Epithetic nasal reconstruction for nasal carcinoma: retrospective analysis on 22 patients. European Arch Oto-Rhino-Laryngol. 2017;274:867–72. DOI: https://doi.org/10.1007/s00405-016-4312-y

Ahcan U, Didanovic V, Porcnik A. A Unique Method for Total Nasal Defect Reconstruction - Prefabricated Innervated Osteocutaneous Radial Forearm Free Flap. Case Reports Plast Surg Hand Surg. 2019 Jul 30;6(1):11-19. DOI: https://doi.org/10.1080/23320885.2018.1549494

Henry EL, Hart RD, Mark Taylor S, et al.. Total nasal reconstruction: use of a radial forearm free flap, titanium mesh, and a paramedian forehead flap. J Otolaryngol Head Neck Surg. 2010;39:697–702.

Menick FJMD, Salibian AMD. Microvascular repair of heminasal, subtotal, and total nasal defects with a folded radial forearm flap and a full-thickness forehead flap. Plast Reconstructive Surg. 2011;127:637–51. DOI: https://doi.org/10.1097/PRS.0b013e3181fed686

Menick F. Nasal Reconstruction. Plastic and Reconstructive Surgery. 2010. DOI: https://doi.org/10.1097/PRS.0b013e3181d0ae2b

Hsiao YC, Huang JJ, Zelken JA, et al.. The folded ulnar forearm flap for nasal reconstruction. Plast Reconstructive Surg. 2016;137:630–635. DOI: https://doi.org/10.1097/01.prs.0000475783.91456.3f

Cherubino M, Battaglia P, Turri-Zanoni M, et al.. Medial femoral condyle free flap for nasal reconstruction: new technique for full-thickness nasal defects. Plast Reconstructive Surg Global Open. 2016;4:855. DOI: https://doi.org/10.1097/GOX.0000000000000858

Valentini V, Terenzi V, Bartoli D, et al.. Single-step nasal reconstruction with osteocutaneous forearm flap after total rhinectomy. J Cranio Surg. 2012;23:474–6 DOI: https://doi.org/10.1097/SCS.0b013e31825878ef

Pagotto VPF, Tutihashi RMC, Ribeiro RDA, Takahashi GG, Camargo CP, Busnardo FF, Gemperli R. Application of FACE-Q and NOSE in Nasal Reconstruction with Paramedian Frontal Flap after Skin Cancer Resection. Plast Reconstr Surg Glob Open. 2021 Apr 8;9(4):3533. DOI: https://doi.org/10.1097/GOX.0000000000003533

Vaidya TS, Mori S, Dusza SW, Rossi AM, Nehal KS, Lee EH. Appearance-related psychosocial distress following facial skin cancer surgery using the FACE-Q Skin Cancer. Arch Dermatol Res. 2019 Nov;311(9):691-6. DOI: https://doi.org/10.1007/s00403-019-01957-2

Downloads

Published

11-12-2024

How to Cite

1.
Aesthetic Evaluation After Three-Dimensional Shaping of Free Flap for Nasal Reconstruction without Additional Paramedian Forehead Flap. J Plast Rekons [Internet]. 2024 Dec. 11 [cited 2025 Apr. 27];9(2):54-7. Available from: https://dev.jprjournal.com/index.php/jpr/article/view/344

Similar Articles

1-10 of 147

You may also start an advanced similarity search for this article.

Most read articles by the same author(s)

1 2 3 > >>