‘‘Bilateral nasocheek flap for reconstruction of upper lip, columella and nasal septum: A modified technique’’

There is a great number of medical conditions causing loss of tissue affecting upper lip, nasal base, columella and membranous septum; in our case wide resection of a relapsing squamous cell carcinoma required a challenging reconstruction to preserve function and aesthetics, guaranteeing oncological...

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Main Authors: Valentina Terenzi, Fiorenza Dal Cortivo, Salvatore Martellucci, Veronica Clemenzi, Andrea Stolfa, Camilla Gallipoli, Andrea Gallo, Valentino Valentini, Giulio Pagliuca
Format: Article
Language:English
Published: Elsevier 2023-12-01
Series:Oral Oncology Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2772906023001000
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author Valentina Terenzi
Fiorenza Dal Cortivo
Salvatore Martellucci
Veronica Clemenzi
Andrea Stolfa
Camilla Gallipoli
Andrea Gallo
Valentino Valentini
Giulio Pagliuca
author_facet Valentina Terenzi
Fiorenza Dal Cortivo
Salvatore Martellucci
Veronica Clemenzi
Andrea Stolfa
Camilla Gallipoli
Andrea Gallo
Valentino Valentini
Giulio Pagliuca
author_sort Valentina Terenzi
collection DOAJ
description There is a great number of medical conditions causing loss of tissue affecting upper lip, nasal base, columella and membranous septum; in our case wide resection of a relapsing squamous cell carcinoma required a challenging reconstruction to preserve function and aesthetics, guaranteeing oncological safety. We propose a modification of classical nasocheek advancement flap, avoiding alar lobule detachment in order to minimize the risk of nasal deformity. Concomitant cartilage graft reconstruction was contraindicated, since the need of adjuvant radiotherapy should not be excluded preoperatively. A single-stage and « single-technique » reconstruction is reported with good functional results and minimal cosmetic deformity at three months post-surgery.
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issn 2772-9060
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publishDate 2023-12-01
publisher Elsevier
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series Oral Oncology Reports
spelling doaj-art-ad4ceb5f92394344abd81439baecb3dc2025-08-20T02:50:23ZengElsevierOral Oncology Reports2772-90602023-12-01810011010.1016/j.oor.2023.100110‘‘Bilateral nasocheek flap for reconstruction of upper lip, columella and nasal septum: A modified technique’’Valentina Terenzi0Fiorenza Dal Cortivo1Salvatore Martellucci2Veronica Clemenzi3Andrea Stolfa4Camilla Gallipoli5Andrea Gallo6Valentino Valentini7Giulio Pagliuca8University of Rome Tor Vergata Department of Surgical Sciences, ItalyCorresponding author. Resident Via Allegri 20, 37035, San Giovanni Ilarione, Verona, Italy.; Department of Odontostomatological and Maxillo-facial Sciences, Sapienza University of Rome, ItalyENT Unit, Santa Maria Goretti Hospital, AUSL, Latina, ItalyDepartment of Sense Organs, Sapienza University of Rome, ItalyDepartment of Sense Organs, Sapienza University of Rome, ItalyENT Unit, Santa Maria Goretti Hospital, AUSL, Latina, ItalyENT Unit, Santa Maria Goretti Hospital, AUSL, Latina, Italy; Department of Sense Organs, Sapienza University of Rome, ItalyDepartment of Odontostomatological and Maxillo-facial Sciences, Sapienza University of Rome, ItalyENT Unit, Santa Maria Goretti Hospital, AUSL, Latina, ItalyThere is a great number of medical conditions causing loss of tissue affecting upper lip, nasal base, columella and membranous septum; in our case wide resection of a relapsing squamous cell carcinoma required a challenging reconstruction to preserve function and aesthetics, guaranteeing oncological safety. We propose a modification of classical nasocheek advancement flap, avoiding alar lobule detachment in order to minimize the risk of nasal deformity. Concomitant cartilage graft reconstruction was contraindicated, since the need of adjuvant radiotherapy should not be excluded preoperatively. A single-stage and « single-technique » reconstruction is reported with good functional results and minimal cosmetic deformity at three months post-surgery.http://www.sciencedirect.com/science/article/pii/S2772906023001000Head and neck cancerNasocheek flapColumellaNasal reconstruction
spellingShingle Valentina Terenzi
Fiorenza Dal Cortivo
Salvatore Martellucci
Veronica Clemenzi
Andrea Stolfa
Camilla Gallipoli
Andrea Gallo
Valentino Valentini
Giulio Pagliuca
‘‘Bilateral nasocheek flap for reconstruction of upper lip, columella and nasal septum: A modified technique’’
Oral Oncology Reports
Head and neck cancer
Nasocheek flap
Columella
Nasal reconstruction
title ‘‘Bilateral nasocheek flap for reconstruction of upper lip, columella and nasal septum: A modified technique’’
title_full ‘‘Bilateral nasocheek flap for reconstruction of upper lip, columella and nasal septum: A modified technique’’
title_fullStr ‘‘Bilateral nasocheek flap for reconstruction of upper lip, columella and nasal septum: A modified technique’’
title_full_unstemmed ‘‘Bilateral nasocheek flap for reconstruction of upper lip, columella and nasal septum: A modified technique’’
title_short ‘‘Bilateral nasocheek flap for reconstruction of upper lip, columella and nasal septum: A modified technique’’
title_sort bilateral nasocheek flap for reconstruction of upper lip columella and nasal septum a modified technique
topic Head and neck cancer
Nasocheek flap
Columella
Nasal reconstruction
url http://www.sciencedirect.com/science/article/pii/S2772906023001000
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