Publication date: Available online 9 March 2018
Source:Operative Techniques in Otolaryngology-Head and Neck Surgery
Author(s): Kristen S. Pan, Brian S. Pan
Defects of the nasal complex can cause significant functional and psychosocial impairment. Nasal reconstruction aims to restore the normal trilaminar structure of the nose, which includes the internal lining, cartilaginous framework, and soft tissue envelope. Among the nasal subunits, the columella is especially challenging to reconstruct due to its unique contour and composite nature. Multiple techniques have been described, each carrying distinct advantages and disadvantages; however, the optimal procedure for an isolated defect of the columella remains elusive. The ideal reconstructive technique should recreate the contour of the columella, provide nasal tip projection, and maintain external valve patency. Additional considerations include matching the pigmentation and texture of the nasal skin while minimizing donor site morbidity. The authors recommend a two-stage reconstruction with bilateral nasal sill flaps and an auricular composite graft.
http://ift.tt/2Id7Y42
Σφακιανάκης Αλέξανδρος
ΩτοΡινοΛαρυγγολόγος
Αναπαύσεως 5 Άγιος Νικόλαος
Κρήτη 72100
00302841026182
00306932607174
alsfakia@gmail.com
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- The iris signal: blue periphery, tan collaret and ...
- 5 alpha-reductase inhibitor treatment for frontal ...
- Rapid fully automatic segmentation of subcortical ...
- Estimating fiber orientation distribution from dif...
- Focal immune-related pancreatitis occurring after ...
- Immune checkpoint therapy in proteinuric kidney di...
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- (Meth)acrylate allergy: frequently missed?
- Mutilating male genital Crohn's without gastrointe...
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- Blunt cannula subcision is more effective than Nok...
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- A Dual Binding Receptor for ER-phagy
- Engineering Control over 3D Morphogenesis by Tissu...
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- A Futile Battle? Protein Quality Control and the S...
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