The RECONSTRUCTION OF NASAL ALA DEFECTS USING THREE STAGED FOLDED FOREHEAD FLAP: AESTHETIC AND FUNCTIONAL OUTCOMES
Objective: To assess short and long term aesthetic and functional outcomes of nasal ala reconstruction by three staged folded forehead flap. Study Design: Prospective study. Place and Duration of Study: Plastic and Reconstructive Surgery Department of Combined Military Hospital Bahawalpur and...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Army Medical College Rawalpindi
2021-01-01
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| Series: | Pakistan Armed Forces Medical Journal |
| Subjects: | |
| Online Access: | https://pafmj.org/index.php/PAFMJ/article/view/4069 |
| _version_ | 1818422681411780608 |
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| author | Ghazanfar Ali Moizza Tahir Maqbool Raza Danish Almas Abdul Majid Yasser Saeed Khan |
| author_facet | Ghazanfar Ali Moizza Tahir Maqbool Raza Danish Almas Abdul Majid Yasser Saeed Khan |
| author_sort | Ghazanfar Ali |
| collection | DOAJ |
| description | Objective: To assess short and long term aesthetic and functional outcomes of nasal ala reconstruction by three staged folded forehead flap.
Study Design: Prospective study.
Place and Duration of Study: Plastic and Reconstructive Surgery Department of Combined Military Hospital
Bahawalpur and Quetta, from Dec 2014 to Dec 2018.
Methodology: Total of 29 patients were enrolled through consecutive sampling technique. Nasal ala defects were reconstructed by three staged frontal forehead flap under general anesthesia. Follow up visit at 2 weeks bleeding, wound Infection, partial skin graft loss and partial flap necrosis was documented. Follow up at 24 weeks, functional outcome of nasal reconstruction was assessed by history and clinical examination for nasal obstruction and/or crusting. Patients’ subjective satisfaction about aesthetic outcome of nasal reconstruction was documented on 5 point likert scale. Objective aesthetic assessment of reconstruction was done on 2D photograph by two independent surgeons.
Results: Twenty six (89.66%) males and 3 (10.34%) females participated in study. The mean age was 35 years
range 16 to 64 years. Follow up at two weeks revealed postoperative bleeding in 2 (6.8%), wound infection in 1
(3.4%) and partial flap loss in 1 (3.4%) patient. At 24 weeks follow up all patients had patent nasal ala. Subjective
and objective assessment of nose shape was documented.
Conclusion: Use of three staged folded forehead flapis useful method of reconstruction for full thickness defects of nasal alaewith good functional and aesthetic outcome. |
| first_indexed | 2024-12-14T13:30:07Z |
| format | Article |
| id | doaj.art-8b0f4833edf1443a91ead1cc25009cb7 |
| institution | Directory Open Access Journal |
| issn | 0030-9648 2411-8842 |
| language | English |
| last_indexed | 2024-12-14T13:30:07Z |
| publishDate | 2021-01-01 |
| publisher | Army Medical College Rawalpindi |
| record_format | Article |
| series | Pakistan Armed Forces Medical Journal |
| spelling | doaj.art-8b0f4833edf1443a91ead1cc25009cb72022-12-21T22:59:44ZengArmy Medical College RawalpindiPakistan Armed Forces Medical Journal0030-96482411-88422021-01-0171SUPPL-1170174https://doi.org/10.51253/pafmj.v71iSuppl-1.40694069The RECONSTRUCTION OF NASAL ALA DEFECTS USING THREE STAGED FOLDED FOREHEAD FLAP: AESTHETIC AND FUNCTIONAL OUTCOMESGhazanfar Ali0Moizza Tahir1Maqbool Raza2Danish Almas3Abdul Majid4Yasser Saeed Khan5Combined Military Hospital Multan/National University of Medical Sciences (NUMS) PakistanCombined Military Hospital Multan/National University of Medical Sciences (NUMS) PakistanCombined Military Hospital Multan/National University of Medical Sciences (NUMS) PakistanCombined Military Hospital Bahawalpur/ National University of Medical Sciences (NUMS) PakistanCombined Military Hospital /National University of Medical Sciences (NUMS) Rawalpindi PakistanCombined Military Hospital Quetta/National University of Medical Sciences (NUMS) PakistanObjective: To assess short and long term aesthetic and functional outcomes of nasal ala reconstruction by three staged folded forehead flap. Study Design: Prospective study. Place and Duration of Study: Plastic and Reconstructive Surgery Department of Combined Military Hospital Bahawalpur and Quetta, from Dec 2014 to Dec 2018. Methodology: Total of 29 patients were enrolled through consecutive sampling technique. Nasal ala defects were reconstructed by three staged frontal forehead flap under general anesthesia. Follow up visit at 2 weeks bleeding, wound Infection, partial skin graft loss and partial flap necrosis was documented. Follow up at 24 weeks, functional outcome of nasal reconstruction was assessed by history and clinical examination for nasal obstruction and/or crusting. Patients’ subjective satisfaction about aesthetic outcome of nasal reconstruction was documented on 5 point likert scale. Objective aesthetic assessment of reconstruction was done on 2D photograph by two independent surgeons. Results: Twenty six (89.66%) males and 3 (10.34%) females participated in study. The mean age was 35 years range 16 to 64 years. Follow up at two weeks revealed postoperative bleeding in 2 (6.8%), wound infection in 1 (3.4%) and partial flap loss in 1 (3.4%) patient. At 24 weeks follow up all patients had patent nasal ala. Subjective and objective assessment of nose shape was documented. Conclusion: Use of three staged folded forehead flapis useful method of reconstruction for full thickness defects of nasal alaewith good functional and aesthetic outcome.https://pafmj.org/index.php/PAFMJ/article/view/4069aesthetic outcomescartilageforehead flapnasal ala reconstruction |
| spellingShingle | Ghazanfar Ali Moizza Tahir Maqbool Raza Danish Almas Abdul Majid Yasser Saeed Khan The RECONSTRUCTION OF NASAL ALA DEFECTS USING THREE STAGED FOLDED FOREHEAD FLAP: AESTHETIC AND FUNCTIONAL OUTCOMES Pakistan Armed Forces Medical Journal aesthetic outcomes cartilage forehead flap nasal ala reconstruction |
| title | The RECONSTRUCTION OF NASAL ALA DEFECTS USING THREE STAGED FOLDED FOREHEAD FLAP: AESTHETIC AND FUNCTIONAL OUTCOMES |
| title_full | The RECONSTRUCTION OF NASAL ALA DEFECTS USING THREE STAGED FOLDED FOREHEAD FLAP: AESTHETIC AND FUNCTIONAL OUTCOMES |
| title_fullStr | The RECONSTRUCTION OF NASAL ALA DEFECTS USING THREE STAGED FOLDED FOREHEAD FLAP: AESTHETIC AND FUNCTIONAL OUTCOMES |
| title_full_unstemmed | The RECONSTRUCTION OF NASAL ALA DEFECTS USING THREE STAGED FOLDED FOREHEAD FLAP: AESTHETIC AND FUNCTIONAL OUTCOMES |
| title_short | The RECONSTRUCTION OF NASAL ALA DEFECTS USING THREE STAGED FOLDED FOREHEAD FLAP: AESTHETIC AND FUNCTIONAL OUTCOMES |
| title_sort | reconstruction of nasal ala defects using three staged folded forehead flap aesthetic and functional outcomes |
| topic | aesthetic outcomes cartilage forehead flap nasal ala reconstruction |
| url | https://pafmj.org/index.php/PAFMJ/article/view/4069 |
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