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Extended applications of vascularized preauricular and helical rim flaps in reconstruction of nasal defects.

Publication ,  Journal Article
Zhang, YX; Yang, J; Wang, D; Ong, YS; Follmar, KE; Zhang, Y; Erdmann, D; Zenn, MR; Qian, Y; Levin, LS
Published in: Plast Reconstr Surg
May 2008

BACKGROUND: Composite auricular chondrocutaneous grafting is a well-established technique for reconstructing alar defects. It can provide excellent results because it matches nasal tissue well in terms of color, texture, and contour. However, the size of composite graft that can be transferred is limited by its lack of blood supply. The authors reviewed their experience with the free vascularized preauricular and helical rim flaps for use in the reconstruction of large, full-thickness, nasal subunit defects. METHODS: The vascularized preauricular and helical rim flap is based on the superficial temporal vessels. Depending on the nature and size of the nasal defect, the crus helicis, helical rim, preauricular skin, superficial temporal fascia, and temporal bone can be harvested. In addition, a posterior auricular flap is designed to reconstruct the donor site. The authors performed a retrospective review of 63 clinical cases. RESULTS: All 63 patients had full-thickness nasal defects that were reconstructed using this technique between 2001 and 2006. There were 36 unilateral alar defects, 20 alar and sidewall defects, three tip and columellar defects, and one patient with an entire lower third of the nose missing. Another three patients had large composite defects involving the nose and maxilla. The lateral femoral circumflex vessels were used as interpositional vascular grafts in most cases. Flap survival occurred in 61 of 63 cases (rate 97 percent). The functional and aesthetic outcome was satisfactory in the majority of patients. CONCLUSIONS: The free vascularized preauricular and helical rim flap is a reliable method of reconstructing nasal defects and has wide clinical applications.

Duke Scholars

Published In

Plast Reconstr Surg

DOI

EISSN

1529-4242

Publication Date

May 2008

Volume

121

Issue

5

Start / End Page

1589 / 1597

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Tissue and Organ Harvesting
  • Surgical Flaps
  • Surgery
  • Rhinoplasty
  • Retrospective Studies
  • Patient Satisfaction
  • Nose Neoplasms
  • Nose Deformities, Acquired
  • Nose
 

Citation

APA
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ICMJE
MLA
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Zhang, Y. X., Yang, J., Wang, D., Ong, Y. S., Follmar, K. E., Zhang, Y., … Levin, L. S. (2008). Extended applications of vascularized preauricular and helical rim flaps in reconstruction of nasal defects. Plast Reconstr Surg, 121(5), 1589–1597. https://doi.org/10.1097/PRS.0b013e31816a8d83
Zhang, Yi Xin, Jun Yang, Danru Wang, Yee Sian Ong, Keith E. Follmar, Yuguang Zhang, Detlev Erdmann, Michael R. Zenn, Yunliang Qian, and L Scott Levin. “Extended applications of vascularized preauricular and helical rim flaps in reconstruction of nasal defects.Plast Reconstr Surg 121, no. 5 (May 2008): 1589–97. https://doi.org/10.1097/PRS.0b013e31816a8d83.
Zhang YX, Yang J, Wang D, Ong YS, Follmar KE, Zhang Y, et al. Extended applications of vascularized preauricular and helical rim flaps in reconstruction of nasal defects. Plast Reconstr Surg. 2008 May;121(5):1589–97.
Zhang, Yi Xin, et al. “Extended applications of vascularized preauricular and helical rim flaps in reconstruction of nasal defects.Plast Reconstr Surg, vol. 121, no. 5, May 2008, pp. 1589–97. Pubmed, doi:10.1097/PRS.0b013e31816a8d83.
Zhang YX, Yang J, Wang D, Ong YS, Follmar KE, Zhang Y, Erdmann D, Zenn MR, Qian Y, Levin LS. Extended applications of vascularized preauricular and helical rim flaps in reconstruction of nasal defects. Plast Reconstr Surg. 2008 May;121(5):1589–1597.

Published In

Plast Reconstr Surg

DOI

EISSN

1529-4242

Publication Date

May 2008

Volume

121

Issue

5

Start / End Page

1589 / 1597

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Tissue and Organ Harvesting
  • Surgical Flaps
  • Surgery
  • Rhinoplasty
  • Retrospective Studies
  • Patient Satisfaction
  • Nose Neoplasms
  • Nose Deformities, Acquired
  • Nose