title: The inferior turbinate flap: a novel technique for prosthetic preparation of a total rhinectomy defect.
abstract: For total rhinectomy defects, the decision to proceed with a prosthetic versus surgical reconstruction is multifactorial, taking into account patient risk factors, availability of donor tissues, the need for tumor surveillance, and personal preferences. When a prosthetic approach is chosen, the reconstructive surgeon is tasked with preparing the defect to maximize prosthetic retention and prevent ulcerations. Stable bone coverage is critical to achieve this aim. Although skin grafting has been described previously for bone coverage, the periosteum is often stripped. We present a novel use of the inferior turbinate flap for preparation of rhinectomy defects that can be utilized regardless of the presence or absence of the periosteum and provides a more durable coverage than skin grafts.
authors.affiliation: Department of Surgery, Division of Plastic and Reconstructive Surgery, University of Florida Health System, University of Florida Medical School, Gainesville, FL, USA.
authors.forename: I
authors.initials: I
authors.lastname: Samcam
authors.affiliation: Department of Surgery, Division of Plastic and Reconstructive Surgery, University of Florida Health System, University of Florida Medical School, Gainesville, FL, USA.
authors.forename: C
authors.initials: C
authors.lastname: Rivera-Serrano
authors.affiliation: Department of Surgery, Division of Plastic and Reconstructive Surgery, University of Florida Health System, University of Florida Medical School, Gainesville, FL, USA.
authors.forename: N
authors.initials: N
authors.lastname: Patel
authors.affiliation: Maxillofacial Prosthetic Services, University of Florida College of Dentistry, Gainesville, FL, USA.
authors.forename: R
authors.initials: R
authors.lastname: Mann
authors.affiliation: Maxillofacial Prosthetic Services, University of Florida College of Dentistry, Gainesville, FL, USA.
authors.forename: F
authors.initials: F
authors.lastname: Wong
authors.affiliation: Department of Otolaryngology, University of Florida Health System, University of Florida Medical School, Gainesville, FL, USA.
authors.forename: J
authors.initials: J
authors.lastname: Werning
authors.affiliation: Department of Surgery, Division of Plastic and Reconstructive Surgery, University of Florida Health System, University of Florida Medical School, Gainesville, FL, USA. Electronic address: Dhruv.singhal@surgery.ufl.edu.
authors.forename: D
authors.initials: D
authors.lastname: Singhal
mesh_terms: D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D006801:Humans; D008297:Male; D009669:Nose Neoplasms / Q000601:surgery*; D019736:Prostheses and Implants; D012225:Rhinoplasty / Q000379:methods*; D013524:Surgical Flaps; D014420:Turbinates / Q000601:surgery*
keywords: inferior turbinate flap; total rhinectomy defect