Reconstruction of the columella and the tip of the nose with an island-shaped forehead flap
Background. Posttraumatic and postoperative defects of columella and the tip of the nose are difficult to reconstruct. There are several operative methods described in the literature, and many of them are step-by-step procedures with long duration. The aim of this study was to present one-step pr...
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| Format: | Article |
| Language: | English |
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Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2011-01-01
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| Series: | Vojnosanitetski Pregled |
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| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2011/0042-84501103277V.pdf |
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| author | Vulović Dejan Stepić Nenad Pavlović Aleksandar Milićević Saša Piščević Branislav |
| author_facet | Vulović Dejan Stepić Nenad Pavlović Aleksandar Milićević Saša Piščević Branislav |
| author_sort | Vulović Dejan |
| collection | DOAJ |
| description | Background. Posttraumatic and postoperative defects of columella and the tip of the nose are difficult to reconstruct. There are several operative methods described in the literature, and many of them are step-by-step procedures with long duration. The aim of this study was to present one-step procedure for reconstruction of the columella and the tip of the nose with island-shaped arterial forehead flap. Case report. A 45-year old man was submitted to surgical excision of basocellular skin cancer. After the excision, a defect of the columella and tip of the nose the remained, 3 × 2.5 cm in dimensions, with exposed alar cartilages. During the same operation, the defect was covered with an island-shaped arterial forehead flap. Postoperative one-year course was uneventful, without signs of tumor recurrence after one year, and further surgical corrections were unnecessary. Conclusion. Considering the results of our operative technique, we believe that middle island-shaped forehead flap is suitable for reconstruction of the columella and the tip of the nose, due to the following reasons: safe vascularization of flap, similarity of the transferred tissue with the excised one, the procedure is completed in one step, simple surgical technique and uncomplicated healing of a flap-harvesting site. |
| format | Article |
| id | doaj-art-0fcac7d85f16417d8796ae9722d319bc |
| institution | Kabale University |
| issn | 0042-8450 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-0fcac7d85f16417d8796ae9722d319bc2025-08-20T03:54:20ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502011-01-0168327728010.2298/VSP1103277VReconstruction of the columella and the tip of the nose with an island-shaped forehead flapVulović DejanStepić NenadPavlović AleksandarMilićević SašaPiščević BranislavBackground. Posttraumatic and postoperative defects of columella and the tip of the nose are difficult to reconstruct. There are several operative methods described in the literature, and many of them are step-by-step procedures with long duration. The aim of this study was to present one-step procedure for reconstruction of the columella and the tip of the nose with island-shaped arterial forehead flap. Case report. A 45-year old man was submitted to surgical excision of basocellular skin cancer. After the excision, a defect of the columella and tip of the nose the remained, 3 × 2.5 cm in dimensions, with exposed alar cartilages. During the same operation, the defect was covered with an island-shaped arterial forehead flap. Postoperative one-year course was uneventful, without signs of tumor recurrence after one year, and further surgical corrections were unnecessary. Conclusion. Considering the results of our operative technique, we believe that middle island-shaped forehead flap is suitable for reconstruction of the columella and the tip of the nose, due to the following reasons: safe vascularization of flap, similarity of the transferred tissue with the excised one, the procedure is completed in one step, simple surgical technique and uncomplicated healing of a flap-harvesting site.http://www.doiserbia.nb.rs/img/doi/0042-8450/2011/0042-84501103277V.pdfskin neoplasmsreconstructive surgical proceduresnose neoplasmstreatment outcome |
| spellingShingle | Vulović Dejan Stepić Nenad Pavlović Aleksandar Milićević Saša Piščević Branislav Reconstruction of the columella and the tip of the nose with an island-shaped forehead flap Vojnosanitetski Pregled skin neoplasms reconstructive surgical procedures nose neoplasms treatment outcome |
| title | Reconstruction of the columella and the tip of the nose with an island-shaped forehead flap |
| title_full | Reconstruction of the columella and the tip of the nose with an island-shaped forehead flap |
| title_fullStr | Reconstruction of the columella and the tip of the nose with an island-shaped forehead flap |
| title_full_unstemmed | Reconstruction of the columella and the tip of the nose with an island-shaped forehead flap |
| title_short | Reconstruction of the columella and the tip of the nose with an island-shaped forehead flap |
| title_sort | reconstruction of the columella and the tip of the nose with an island shaped forehead flap |
| topic | skin neoplasms reconstructive surgical procedures nose neoplasms treatment outcome |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2011/0042-84501103277V.pdf |
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