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

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dc.authoridKaratan, Berrak / 0000-0003-3921-5087
dc.authorscopusid55792122700
dc.authorscopusid57208670589
dc.authorscopusid57220071994
dc.authorscopusid57216493818
dc.authorscopusid6602286664
dc.authorscopusid6603033539
dc.authorwosidKaratan, Berrak/AAD-2449-2020
dc.contributor.authorBali, Zülfükar Ulaş
dc.contributor.authorKaratan, Berrak
dc.contributor.authorParspancı, Aziz
dc.contributor.authorTuluy, Yavuz
dc.contributor.authorKeçeci, Yavuz
dc.contributor.authorYoleri, Levent
dc.date.accessioned2022-02-15T16:57:23Z
dc.date.available2022-02-15T16:57:23Z
dc.date.issued2021
dc.departmentBakırçay Üniversitesien_US
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 x 5 cm defect, a 12.5 x 8 cm ALT flap was planned, with 7.5 x 8 cm for nasal reconstruction and 5 x 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.en_US
dc.identifier.doi10.1002/micr.30748
dc.identifier.endpage573en_US
dc.identifier.issn0738-1085
dc.identifier.issn1098-2752
dc.identifier.issue6en_US
dc.identifier.pmid33886129en_US
dc.identifier.scopus2-s2.0-85104589123en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage569en_US
dc.identifier.urihttps://doi.org/10.1002/micr.30748
dc.identifier.urihttps://hdl.handle.net/20.500.14034/133
dc.identifier.volume41en_US
dc.identifier.wosWOS:000642253800001en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.journalMicrosurgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.titleTotal nasal reconstruction with pre-laminated, super-thin anterolateral thigh flap: A case reporten_US
dc.typeArticleen_US

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