Reconstruction of nasal defects using the Rieger flap
Introduction: the reconstruction of skin defects in the distal part of the nose is always a challenge. The dorsal nasal flap, initially described by Gillies, was unveiled when Rieger, in 1967, described the use of a modified rotation flap that used the redundant skin of the glabella to repair full-t...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Cirurgia Plástica
2020-06-01
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| Series: | Revista Brasileira de Cirurgia Plástica |
| Subjects: | |
| Online Access: | http://www.rbcp.org.br/export-pdf/2741/en_v35n2a03.pdf |
| _version_ | 1797425053873209344 |
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| author | Filipe Lopes Decusati Antônio Egidio Rinaldi |
| author_facet | Filipe Lopes Decusati Antônio Egidio Rinaldi |
| author_sort | Filipe Lopes Decusati |
| collection | DOAJ |
| description | Introduction: the reconstruction of skin defects in the distal part of the nose is always a challenge. The dorsal nasal flap, initially described by Gillies, was unveiled when Rieger, in 1967, described the use of a modified rotation flap that used the redundant skin of the glabella to repair full-thickness defects of the lower half of the nose of equal or greater size of 2 cm, allowing reconstruction in a single surgical time.
Methods: A retrospective study was carried out, selecting patients who had basal cell carcinoma, in the middle and/or lower third of the nose, who were treated at the Plastic Surgery outpatient clinic of the Plastic Surgery Service Prof. Dr. Oswaldo de Castro, in the period from 2017 to 2019.
Results: The total number of patients was six, with ages ranging from 64 to 95 years, with an average of 80.67 years. Five of these patients were male, with only one female. There were no complications during or after the procedures. Also, there were no cases of infection, bleeding, hematoma, dehiscence, or necrosis of the flap.
Conclusion: the Rieger flap is a good option for cases of reconstruction of defects located in the lower half of the nose; it is performed in a single moment, is easy to perform, and has a high level of patient satisfaction. It provides an adequate result aesthetics of the reconstructed area, in texture and color, through the use of specific tissues for the nasal covering. |
| first_indexed | 2024-03-09T08:10:30Z |
| format | Article |
| id | doaj.art-5bafd4e5a7a34a298e68b4dbf908f753 |
| institution | Directory Open Access Journal |
| issn | 1983-5175 2177-1235 |
| language | English |
| last_indexed | 2024-03-09T08:10:30Z |
| publishDate | 2020-06-01 |
| publisher | Sociedade Brasileira de Cirurgia Plástica |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj.art-5bafd4e5a7a34a298e68b4dbf908f7532023-12-02T23:25:41ZengSociedade Brasileira de Cirurgia PlásticaRevista Brasileira de Cirurgia Plástica1983-51752177-12352020-06-01350214915310.5935/2177-1235.2020RBCP0026Reconstruction of nasal defects using the Rieger flapFilipe Lopes Decusati0Antônio Egidio Rinaldi1Serviço de Cirurgia Plástica Prof. Dr. Oswaldo de Castro, Cirurgia Plástica, São Paulo, SP, BrazilServiço de Cirurgia Plástica Prof. Dr. Oswaldo de Castro, Cirurgia Plástica, São Paulo, SP, BrazilIntroduction: the reconstruction of skin defects in the distal part of the nose is always a challenge. The dorsal nasal flap, initially described by Gillies, was unveiled when Rieger, in 1967, described the use of a modified rotation flap that used the redundant skin of the glabella to repair full-thickness defects of the lower half of the nose of equal or greater size of 2 cm, allowing reconstruction in a single surgical time. Methods: A retrospective study was carried out, selecting patients who had basal cell carcinoma, in the middle and/or lower third of the nose, who were treated at the Plastic Surgery outpatient clinic of the Plastic Surgery Service Prof. Dr. Oswaldo de Castro, in the period from 2017 to 2019. Results: The total number of patients was six, with ages ranging from 64 to 95 years, with an average of 80.67 years. Five of these patients were male, with only one female. There were no complications during or after the procedures. Also, there were no cases of infection, bleeding, hematoma, dehiscence, or necrosis of the flap. Conclusion: the Rieger flap is a good option for cases of reconstruction of defects located in the lower half of the nose; it is performed in a single moment, is easy to perform, and has a high level of patient satisfaction. It provides an adequate result aesthetics of the reconstructed area, in texture and color, through the use of specific tissues for the nasal covering.http://www.rbcp.org.br/export-pdf/2741/en_v35n2a03.pdfsurgical flapsnosereconstructive surgical proceduresnose neoplasmscarcinoma, basal cell |
| spellingShingle | Filipe Lopes Decusati Antônio Egidio Rinaldi Reconstruction of nasal defects using the Rieger flap Revista Brasileira de Cirurgia Plástica surgical flaps nose reconstructive surgical procedures nose neoplasms carcinoma, basal cell |
| title | Reconstruction of nasal defects using the Rieger
flap |
| title_full | Reconstruction of nasal defects using the Rieger
flap |
| title_fullStr | Reconstruction of nasal defects using the Rieger
flap |
| title_full_unstemmed | Reconstruction of nasal defects using the Rieger
flap |
| title_short | Reconstruction of nasal defects using the Rieger
flap |
| title_sort | reconstruction of nasal defects using the rieger flap |
| topic | surgical flaps nose reconstructive surgical procedures nose neoplasms carcinoma, basal cell |
| url | http://www.rbcp.org.br/export-pdf/2741/en_v35n2a03.pdf |
| work_keys_str_mv | AT filipelopesdecusati reconstructionofnasaldefectsusingtheriegerflap AT antonioegidiorinaldi reconstructionofnasaldefectsusingtheriegerflap |