Archives of Plastic Surgery

  • 제43권1호
  • /
  • Pages.77-83
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  • 2016
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  • 2234-6163(pISSN)
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  • 2234-6171(eISSN)
대한성형외과학회 (Korean Society of Plastic and Reconstructive Surgeons)
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Lateral Nasal Artery Perforator Flaps: Anatomic Study and Clinical Applications

  • 투고 : 2015.08.27
  • 심사 : 2015.11.24
  • 발행 : 2016.01.15
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초록

Background Previous studies have investigated facial artery perforators, but have reported inconsistent results regarding lateral nasal artery (LNA) perforators. Although several authors have described the use of LNA perforators for ala nasi and nasal sidewall reconstruction, the literature contains little information regarding the cadaveric dissection of LNA perforators, and most previously published studies have focused on facial artery perforators. Methods Sixteen hemifaces from eight fresh cadavers were dissected to study the LNA perforators. After the dissection was performed, the total length and diameter of the LNA and its perforators were measured. The quantity and the distribution of the LNA perforators supplying the overlying skin were then assessed. LNA perforator flaps were used for reconstruction in 10 nasal and perinasal defects. Results The mean total lengths of the LNA and its perforators were 49.37 mm and 16.06 mm, respectively. The mean diameters of the LNA and its perforators were 2.08 mm and 0.91 mm, respectively. Based on our findings, we mapped the face to indicate zones with a higher probability of finding perforators. No infection, hematoma, or complete flap necrosis were observed after the procedures. Conclusions Nasal reconstruction is a challenging procedure, and LNA propeller/V-Y perforator flaps are an excellent reconstructive option in certain cases. Based on our cadaveric study, we were able to identify an area in the upper third of the nasolabial groove with a high density of perforators.

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참고문헌

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피인용 문헌

  1. The External Nose: The Nasal Arteries and Their Course in Relation to the Nasolabial Fold and Groove vol.138, pp.5, 2016, https://doi.org/10.1097/prs.0000000000002626
  2. Refinement of Nasal Reconstruction with a V/Y-alar-perforator Flap vol.5, pp.1, 2017, https://doi.org/10.1097/gox.0000000000001195
  3. Aesthetic soft tissue management in facial trauma vol.61, pp.12, 2016, https://doi.org/10.5124/jkma.2018.61.12.715
  4. Nasolabial propeller perforator flap: Anatomical study and case series vol.117, pp.5, 2018, https://doi.org/10.1002/jso.25013
  5. Pacman flap for oncologic reconstruction of soft-tissue defects after tumor resection: A retrospective case series vol.97, pp.25, 2016, https://doi.org/10.1097/md.0000000000011114
  6. Subunit Reconstruction of Mid-Facial Defects With Free Style Facial Perforator Flaps vol.29, pp.6, 2016, https://doi.org/10.1097/scs.0000000000004535
  7. A new flap combination for reconstruction of lower nasal dorsum and supra-tip skin defects vol.46, pp.5, 2019, https://doi.org/10.5999/aps.2018.01354
  8. Investigation of the presence and variation of the ascending mental artery: Conventional dissections and ultrasonographic study vol.18, pp.6, 2016, https://doi.org/10.1111/jocd.12928
  9. Hybrid reconstruction of distal nasal defects vol.34, pp.1, 2016, https://doi.org/10.1111/dth.14734
  10. Primary Reconstruction of Extensive Forehead Defects Using Supraorbital Artery Propeller Perforator Flap vol.79, pp.7, 2016, https://doi.org/10.1016/j.joms.2021.01.039