Defect Size Dependent Reconstruction Strategy of the Nasal Tip Cutaneous Wounds: A Retrospective Study

Minliang Wu,* Xinyi Zhang,* Ang Li,* Jianguo Xu, Haiying Dai, Ji Zhu, Jie Dong, Kexin Chen, Yuai Xiao, Yuchong Wang, Chunyu Xue Department of Plastic Surgery, Changhai Hospital, Naval Medical University, Shanghai, People’s Republic of China*These autho...

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Main Authors: Wu M, Zhang X, Li A, Xu J, Dai H, Zhu J, Dong J, Chen K, Xiao Y, Wang Y, Xue C
Format: Article
Language:English
Published: Dove Medical Press 2025-05-01
Series:Clinical, Cosmetic and Investigational Dermatology
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Online Access:https://www.dovepress.com/defect-size-dependent-reconstruction-strategy-of-the-nasal-tip-cutaneo-peer-reviewed-fulltext-article-CCID
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author Wu M
Zhang X
Li A
Xu J
Dai H
Zhu J
Dong J
Chen K
Xiao Y
Wang Y
Xue C
author_facet Wu M
Zhang X
Li A
Xu J
Dai H
Zhu J
Dong J
Chen K
Xiao Y
Wang Y
Xue C
author_sort Wu M
collection DOAJ
description Minliang Wu,* Xinyi Zhang,* Ang Li,* Jianguo Xu, Haiying Dai, Ji Zhu, Jie Dong, Kexin Chen, Yuai Xiao, Yuchong Wang, Chunyu Xue Department of Plastic Surgery, Changhai Hospital, Naval Medical University, Shanghai, People’s Republic of China*These authors contributed equally to this workCorrespondence: Chunyu Xue, Department of Plastic Surgery, Changhai Hospital, Naval Medical University, 168 Changhai Road, Shanghai, 200433, People’s Republic of China, Email xcyfun@sina.com Yuchong Wang, Department of Plastic Surgery, Changhai Hospital, Naval Medical University, 168 Changhai Road, Shanghai, 200433, People’s Republic of China, Email drwangyc@163.comObjective: To achieve satisfying function and appearance of nasal tip after tumor resection.Methods: This retrospective study included patients with nasal tip tumors admitted between January 2010 and January 2024. A standardized data collection template was used to collect related variables. Tumors were all resected according to the guidelines, and the defects were repaired with different flaps. For nasal tip soft tissue defects smaller than 1 cm, a horn-shaped flap was used; for defects with a diameter of 1– 2 cm, the bilobed flap was applied; for defects larger than 2 cm, frontonasal flap was designed.Results: Twenty-eight patients were included in this study. All the skin defects were repaired according to the one-stage reconstruction strategy. All patients achieved primary healing without severe complications. Slight edema occurred in 5 patients, and slight infection occurred in 2 patients, all healed with dressing change in several days. Ideal aesthetic results achieved without distortion of the nasal tip or alar rim. During the follow-up period of 3– 11 months, no tumor occurrence was observed.Conclusion: The reconstruction strategy reported in this study is a promising way in the repair of nasal tip soft tissue defect with little complication and satisfying outcomes.Keywords: nasal tip defect, horn-shaped flap, bilobed flap, frontonasal flap, nasal reconstruction
format Article
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issn 1178-7015
language English
publishDate 2025-05-01
publisher Dove Medical Press
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series Clinical, Cosmetic and Investigational Dermatology
spelling doaj-art-d028ea1ad1654c0593deaf01d8b2cf8f2025-08-20T03:23:59ZengDove Medical PressClinical, Cosmetic and Investigational Dermatology1178-70152025-05-01Volume 18Issue 112531260103222Defect Size Dependent Reconstruction Strategy of the Nasal Tip Cutaneous Wounds: A Retrospective StudyWu M0Zhang X1Li A2Xu J3Dai H4Zhu J5Dong J6Chen K7Xiao Y8Wang Y9Xue C10Department of Plastic SurgeryDepartment of Plastic SurgeryDepartment of Plastic SurgeryDepartment of Plastic SurgeryDepartment of Plastic SurgeryDepartment of Plastic SurgeryDepartment of Plastic SurgeryDepartment of Plastic SurgeryDepartment of Plastic SurgeryDepartment of Plastic SurgeryDepartment of Plastic SurgeryMinliang Wu,* Xinyi Zhang,* Ang Li,* Jianguo Xu, Haiying Dai, Ji Zhu, Jie Dong, Kexin Chen, Yuai Xiao, Yuchong Wang, Chunyu Xue Department of Plastic Surgery, Changhai Hospital, Naval Medical University, Shanghai, People’s Republic of China*These authors contributed equally to this workCorrespondence: Chunyu Xue, Department of Plastic Surgery, Changhai Hospital, Naval Medical University, 168 Changhai Road, Shanghai, 200433, People’s Republic of China, Email xcyfun@sina.com Yuchong Wang, Department of Plastic Surgery, Changhai Hospital, Naval Medical University, 168 Changhai Road, Shanghai, 200433, People’s Republic of China, Email drwangyc@163.comObjective: To achieve satisfying function and appearance of nasal tip after tumor resection.Methods: This retrospective study included patients with nasal tip tumors admitted between January 2010 and January 2024. A standardized data collection template was used to collect related variables. Tumors were all resected according to the guidelines, and the defects were repaired with different flaps. For nasal tip soft tissue defects smaller than 1 cm, a horn-shaped flap was used; for defects with a diameter of 1– 2 cm, the bilobed flap was applied; for defects larger than 2 cm, frontonasal flap was designed.Results: Twenty-eight patients were included in this study. All the skin defects were repaired according to the one-stage reconstruction strategy. All patients achieved primary healing without severe complications. Slight edema occurred in 5 patients, and slight infection occurred in 2 patients, all healed with dressing change in several days. Ideal aesthetic results achieved without distortion of the nasal tip or alar rim. During the follow-up period of 3– 11 months, no tumor occurrence was observed.Conclusion: The reconstruction strategy reported in this study is a promising way in the repair of nasal tip soft tissue defect with little complication and satisfying outcomes.Keywords: nasal tip defect, horn-shaped flap, bilobed flap, frontonasal flap, nasal reconstructionhttps://www.dovepress.com/defect-size-dependent-reconstruction-strategy-of-the-nasal-tip-cutaneo-peer-reviewed-fulltext-article-CCIDnasal tip defecthorn-shaped flapbilobed flapfrontonasal flapnasal reconstruction
spellingShingle Wu M
Zhang X
Li A
Xu J
Dai H
Zhu J
Dong J
Chen K
Xiao Y
Wang Y
Xue C
Defect Size Dependent Reconstruction Strategy of the Nasal Tip Cutaneous Wounds: A Retrospective Study
Clinical, Cosmetic and Investigational Dermatology
nasal tip defect
horn-shaped flap
bilobed flap
frontonasal flap
nasal reconstruction
title Defect Size Dependent Reconstruction Strategy of the Nasal Tip Cutaneous Wounds: A Retrospective Study
title_full Defect Size Dependent Reconstruction Strategy of the Nasal Tip Cutaneous Wounds: A Retrospective Study
title_fullStr Defect Size Dependent Reconstruction Strategy of the Nasal Tip Cutaneous Wounds: A Retrospective Study
title_full_unstemmed Defect Size Dependent Reconstruction Strategy of the Nasal Tip Cutaneous Wounds: A Retrospective Study
title_short Defect Size Dependent Reconstruction Strategy of the Nasal Tip Cutaneous Wounds: A Retrospective Study
title_sort defect size dependent reconstruction strategy of the nasal tip cutaneous wounds a retrospective study
topic nasal tip defect
horn-shaped flap
bilobed flap
frontonasal flap
nasal reconstruction
url https://www.dovepress.com/defect-size-dependent-reconstruction-strategy-of-the-nasal-tip-cutaneo-peer-reviewed-fulltext-article-CCID
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