[Repair of nose and adjacent tissue defect deformities after burn].
OBJECTIVE
To look for the best method of repairing nose and adjacent tissue defect after burn and observe the effect.


METHODS
Twelve patients with post-burn nose and adjacent tissue defect deformities hospitalized from January 1999 to December 2008 were repaired with expanded forehead flap, pedicled upper-arm flap, axial post-auricular reversed flow island flap, and nasolabial groove flap. Among them, 4 cases with total nasal defect, 8 cases with partial nasal defect; and 3 cases were accompanied with scars on cheek, 5 cases accompanied with scars on forehead, 5 cases accompanied with upper lip ectropion and subtotal upper lip defect. The skin flap size ranged from 3.0 cm x 1.5 cm to 10.0 cm x 8.0 cm.


RESULTS
Five cases were repaired with expanded forehead flap, 3 cases with pedicled upper-arm flap, 1 case with axial post-auricular reversed flow island flap, and 3 cases with nasolabial groove flap respectively. All the 12 flaps survived. Patients were followed up for 1 to 7 years, and nasal function and appearance were obviously improved.


CONCLUSIONS
Optimal repairing method shall be chosen to repair nasal defect after burn according to its extent, and forehead flap is preferred. Pedicled upper-arm flap and reversed flow axial post-auricular island flap can be employed if local flap and ortho-position skin flap are unavailable when obvious scar is present on face as a result of severe burn.
Zhang
Pi-hong
PH
Department of Burns and Plastic Surgery, Xiangya Hospital, Central South University, Changsha 410008, China.
Huang
Xiao-yuan
XY
Ren
Li-cheng
LC
Long
Jian-hong
JH
Fan
Peng-ju
PJ
Zeng
Ji-zhang
JZ
Xiao
Mu-zhang
MZ
D000293:Adolescent; D000328:Adult; D002056:Burns / Q000150:complications / Q000601:surgery*; D002648:Child; D005151:Facial Injuries / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D009667:Nose Deformities, Acquired / Q000601:surgery*; D019651:Plastic Surgery Procedures; D016038:Skin Transplantation; D013524:Surgical Flaps; D055815:Young Adult