Nasal reconstruction with a thin, free flap prefabricated with a silicone sheet: case report.
When the reconstruction of facial tissue requires the use of a flap, this is best carried out with a thin flap that matches the texture of facial skin. For this reason, the authors often use postauricular and subclavicular donor sites. In the reported case, a prefabricated flap was created in the patient's subclavicular skin, by utilizing a silicone sheet and transferring the thoracodorsal vessels. Two weeks after the procedure, this prefabricated flap was transplanted with microsurgical techniques, to reconstruct the ala nasi, after a limited resection of a cavernous hemangioma that preserved the alar cartilage. A very favorable outcome was achieved.
Itoh
Y
Y
Department of Traumatology and Critical Care Medicine, National Defense Medical College, Saitama-ken, Japan.
Arai
K
K
D000328:Adult; D006392:Hemangioma, Cavernous / Q000151:congenital / Q000601:surgery; D006801:Humans; D008297:Male; D009667:Nose Deformities, Acquired / Q000601:surgery*; D009669:Nose Neoplasms / Q000151:congenital / Q000601:surgery; D012225:Rhinoplasty / Q000379:methods*; D012828:Silicones; D013524:Surgical Flaps / Q000379:methods*
D012828:Silicones