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화상으로 손실된 비익에 대한 전두피판을 이용한 재건

Reconstruction of Postburn Nasal Alar Defect by Paramedian Forehead Flap

  • Park, Daehwan (Department of Plastic & Reconstructive Surgery, Dongkang Medical Center) ;
  • Park, Sulki (Department of Plastic & Reconstructive Surgery, Dongkang Medical Center) ;
  • Baik, Bongsoo (Department of Plastic & Reconstructive Surgery, Dongkang Medical Center) ;
  • Ji, Soyoung (Department of Plastic & Reconstructive Surgery, Dongkang Medical Center)
  • 투고 : 2021.09.26
  • 심사 : 2021.10.27
  • 발행 : 2021.12.31

초록

In the face, the nose plays an important role in both function and appearance. Among the subunits on the nose, the alar is a critical nasal structure of high aesthetic value. Previously, many surgeons have insisted that structural support should be added to the reconstruction of alar and particularly so in the case of a full-thickness defect. In a 58-year-old male patient who had a third-degree burn injury and full-thickness defect in most of the left nasal alar, forehead flap surgery alone was successfully performed without structural support.

키워드

참고문헌

  1. Burget GC, Menick FJ. The subunit principle in nasal reconstruction. Plast Reconstr Surg 1985;76:239-47. https://doi.org/10.1097/00006534-198508000-00010
  2. Cerci FB. Usefulness of the subunit principle in nasal reconstruction. An Bras Dermatol 2017;92:159-62. https://doi.org/10.1590/abd1806-4841.20175278
  3. Singh DJ, Bartlett SP. Aesthetic considerations in nasal reconstruction and the role of modified nasal subunits. Plast Reconstr Surg 2003;111:639-48. https://doi.org/10.1097/01.PRS.0000041602.85239.93
  4. Korean Society of Plastic and Reconstructive Surgeons. Textbook of Plastic Surgery. 3rd ed. Paju: Koonja; 2019. p.395.
  5. Springer IN, Wannicke B, Warnke PH, Zernial O, Wiltfang J, Russo PA, et al. Facial attractiveness: visual impact of symmetry increases significantly towards the midline. Ann Plast Surg 2007;59:156-62. https://doi.org/10.1097/01.sap.0000252041.66540.ec
  6. Millard DR. Reconstructive rhinoplasty for the lower half of a nose. Plast Reconstr Surg 1974;53:133-9. https://doi.org/10.1097/00006534-197402000-00003
  7. Fanous N, Cote V, Fanous A. The new Genetico-Racial Skin Classification: how to maximize the safety of any peel or laser treatment on any Asian, Caucasian or Black patient. Can J Plast Surg 2011;19:9-16. https://doi.org/10.1177/229255031101900108
  8. Yotsuyanagi T, Yamashita K, Urushidate S, Yokoi K, Sawada Y. Nasal reconstruction based on aesthetic subunits in Orientals. Plast Reconstr Surg 2000;106:36-44. https://doi.org/10.1097/00006534-200007000-00006
  9. Funayama E, Yamamoto Y, Furukawa H, Murao N, Shichinohe R, Yamao T, et al. Full-thickness entire nasal alar reconstruction using a forehead flap in asians: no cartilaginous infrastructural lining is necessary. J Craniofac Surg 2017;28:734-7. https://doi.org/10.1097/SCS.0000000000003389
  10. Menick FJ. A 10-year experience in nasal reconstruction with the three-stage forehead flap. Plast Reconstr Surg 2002;109:1839-55. https://doi.org/10.1097/00006534-200205000-00010
  11. Hataya Y, Kosaka K, Yamazaki M, Asai S, Suzuki K. Reconstruction of burned nasal alae with vascular island skin flaps pedicled on the infraorbital vessels. Burns 1995;21:313-5. https://doi.org/10.1016/0305-4179(95)93870-P
  12. Noel W, Duron JB, Jabbour S, Revol M, Mazouz-Dorval S. Three-stage folded forehead flap for nasal reconstruction: objective and subjec-tive measurements of aesthetic and functional outcomes. J Plast Reconstr Aesthet Surg 2018;71:548-56. https://doi.org/10.1016/j.bjps.2017.10.001
  13. Obagi, Zein E. Obagi skin health restoration and rejuvenation. 1st ed. New York (NY): Springer-Verlag; 2000. p.78.