Total nasal reconstruction with pre-laminated, super-thin anterolateral thigh flap: A case report

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dc.contributor.authorBali Z.U.
dc.contributor.authorKaratan B.
dc.contributor.authorParspancı A.
dc.contributor.authorTuluy Y.
dc.contributor.authorKececi Y.
dc.contributor.authorYoleri L.
dc.date.accessioned2024-07-22T08:05:44Z
dc.date.available2024-07-22T08:05:44Z
dc.date.issued2021
dc.description.abstractMany techniques for nasal reconstruction have been described to achieve aesthetically and functionally favorable results. Local tissues, specifically the forehead flap, provide the best tissue match with the nose. However, when local tissue donor sites are limited, alternative options such as free tissue transfers should be considered. Herein, we describe a case of a 72-year-old male patient who had a total nasal and left malar defect reconstructed with a two-staged, pre-laminated, super-thin anterolateral thigh (ALT) flap. The patient's nasectomy was performed 15 years ago. The adjacent left malar defect was due to recent squamous cell carcinoma excision. Local tissues were unavailable for reconstruction due to previous tumor excisions. For the 8.5 × 5 cm defect, a 12.5 × 8 cm ALT flap was planned, with 7.5 × 8 cm for nasal reconstruction and 5 × 4 cm for malar reconstruction. During the first stage, a super-thin fascial ALT flap was raised without dissecting the perforators, and the nasal skeleton was laminated between these two flaps. Costal cartilages were harvested for the nasal skeleton and positioned between the suprafascial and the fascial ALT flaps. During the second stage, two perforators were dissected to the pedicle on the pre-laminated flap, and the flap was divided from the donor site. The nasal skeleton was fixed and anastomosis with the facial vessels was established. After both stages, no complications were observed. After one month, a revision surgery was performed to enhance the transition between the reconstructed nose and the cheek, and improve the nasal projection. Postoperatively, after one year, the patient had a stable nasal reconstruction with good breathing. Prelaminated, super-thin ALT flaps provide the advantages of a wide and versatile donor site and an acceptable donor site scar. They may be an option for patients who are not amenable to traditional reconstruction methods. © 2021 Wiley Periodicals LLC.
dc.identifier.DOI-ID10.1002/micr.30748
dc.identifier.issn07381085
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/13244
dc.language.isoEnglish
dc.publisherJohn Wiley and Sons Inc
dc.subjectAged
dc.subjectHumans
dc.subjectMale
dc.subjectReconstructive Surgical Procedures
dc.subjectRhinoplasty
dc.subjectSurgical Flaps
dc.subjectThigh
dc.subjectTreatment Outcome
dc.subjectaged
dc.subjectanterolateral thigh flap
dc.subjectArticle
dc.subjectcancer surgery
dc.subjectcartilage graft
dc.subjectcase report
dc.subjectclinical article
dc.subjectdistant metastasis
dc.subjectdonor site
dc.subjectforehead flap
dc.subjectfull thickness skin graft
dc.subjecthistopathology
dc.subjecthuman
dc.subjectmale
dc.subjectmaxillary sinus
dc.subjectmedical history
dc.subjectnose carcinoma
dc.subjectnose cartilage
dc.subjectnuclear magnetic resonance imaging
dc.subjectphysical examination
dc.subjectpositron emission tomography
dc.subjectpre laminated anterolateral thigh flap
dc.subjectrhinoplasty
dc.subjectrib cartilage
dc.subjectsquamous cell carcinoma
dc.subjectsubcutaneous tissue
dc.subjectsuper thin anterolateral thigh flap
dc.subjectsurgical margin
dc.subjectwedge resection
dc.subjectreconstructive surgery
dc.subjectsurgery
dc.subjectsurgical flaps
dc.subjectthigh
dc.subjecttreatment outcome
dc.titleTotal nasal reconstruction with pre-laminated, super-thin anterolateral thigh flap: A case report
dc.typeArticle

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