Complications after nasal skin repair with local flaps and full-thickness skin grafts and implications of patients' contentment

被引：43

作者：

Rustemeyer J. ^{[1
]}

Günther L. ^{[1
]}

Bremerich A. ^{[1
]}

机构：

[1] Klinik für Mund-, Kiefer- und Gesichtschirurgie, Plastische Operationen, Spezielle Schmerztherapie, Klinikum Bremen-Mitte, Bremen

来源：

Oral and Maxillofacial Surgery | 2009年 / 13卷 / 1期

关键词：

Full-thickness skin graft; Local flap; Nasal skin defect; Patients' contentment;

D O I：

10.1007/s10006-008-0139-z

中图分类号：

学科分类号：

摘要：

Purpose: The range of complications after plastic surgical repair of nasal skin defects is not clearly known. The aim of this study was to identify complications after reconstruction of nasal skin defects to determine what typical complications occur after standard surgical options including full-thickness skin graft (FTSG) and local flap plastics (LFP). Materials and methods: In 210 patients with defects of the nasal tip, the nasal ala or dorsum of the nose (average diameter 1.1 ± 0.3 cm) surgical skin repair was performed with LFP or FTSG. Complications within 6 months after surgery were recorded. Results: Some 41 patients (19.5%) suffered complications; there was no significant difference in total complication rate between LFP (20.5%) and FTSG (18.3%). However, FTSG patients had significantly more infections postoperatively than LFP patients (5.4% vs. 2.6%). LFP patients presented a significantly higher rate of wound or suture dehiscence (FTSG 2.2%, LFP 5.9%). FTSG patients exhibited a significantly higher rate of partial or complete loss (total rate FTSG 8.5%, LFP 5.2%). The LFP technique led to significantly more aesthetic deficits (FTSG 2.1%, LFP 6.8%). Conclusions: LFP showed advantages with regard to infection and loss rates but with a higher rate of aesthetic deficits compared to FTSG. It remains an individual decision as to which procedure is used to repair defects of the nose, depending on patient and surgical variables. © pringer-Verlag 2008.

引用

页码：15 / 19

页数：4

共 19 条

[1]

Konz B., Möglichkeiten zum Wundverschluss im dermatologischen Bereich, Dermatochirurgie in Klinik Und Praxis, pp. 20-40, (1977)

[2]

Belmahi A., El Mazouz S., Gharib N.E., Et al., The bilobed flap: A very efficient method in aesthetic reconstruction of small skin defects at the alar and tip regions of the nose, Ann Chir Plast Esthet, 48, pp. 211-215, (2003)

[3]

Silistreli O.K., Demirdover C., Ayhan M., Et al., Prefabricated nasolabial flap for reconstruction of full-thickness distal nasal defects, Dermatol Surg, 31, pp. 546-552, (2005)

[4]

Jun-Hui L., Xin X., Tian-Xiang O., Et al., Subcutaneous pedicle limberg flap for facial reconstruction, Dermatol Surg, 31, pp. 949-952, (2005)

[5]

Copcu E., Trilobed skin flap on the face: For reconstruction of full-thickness or commissural defects, Dermatol Surg, 30, pp. 915-921, (2004)

[6]

El-Marrakby H.H., The versatile naso-labial flaps in facial reconstruction, J Egypt Natl Canc Inst, 17, pp. 245-250, (2005)

[7]

Bouhanna A., Bruant-Rodier C., Himy S., Et al., Reconstruction of the nasal alar defect with the superiorly based nasolabial flap described by Burget: Report of seven cases, Ann Chir Plast Esthet, 53, pp. 272-277, (2008)

[8]

Burget G.C., Menick F.J., The subunit principle in nasal reconstruction, Plast Reconstr Surg, 76, pp. 239-247, (1985)

[9]

Iida N., Ohsumi N., Tsutsumi Y., Tonegawa M., The full-thickness retroangular flap, Ann Plast Surg, 45, pp. 544-549, (2000)

[10]

Turan A., Kul Z., Turkaslan T., Et al., Reconstruction of lower half defects of the nose with the lateral nasal artery pedicle nasolabial flap, Plast Reconstr Surg, 119, pp. 1767-1772, (2007)

← 1 2 →