Reconstruction of nasal vestibular obstruction after total nasal reconstruction using superior subcutaneous pedicle nasolabial flaps

Objective and Methods: Nasal obstruction after total nasal reconstruction is a serious complication that contributes to breathing difficulty, snoring, and obstructive sleep apnea, which can negatively influence daily activities. However, few treatments have been reported in detail for this condition...

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Main Authors: Motomu Suito, Takeshi Kitazawa
Format: Article
Language:English
Published: Elsevier 2021-09-01
Series:JPRAS Open
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352587821000413
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author Motomu Suito
Takeshi Kitazawa
author_facet Motomu Suito
Takeshi Kitazawa
author_sort Motomu Suito
collection DOAJ
description Objective and Methods: Nasal obstruction after total nasal reconstruction is a serious complication that contributes to breathing difficulty, snoring, and obstructive sleep apnea, which can negatively influence daily activities. However, few treatments have been reported in detail for this condition. Here, a case of nasal vestibular obstruction after total nasal reconstruction that was treated with bilateral superior subcutaneous pedicle nasolabial flaps is reported. Results: An intranasal stent was used postoperatively for five months to prevent restenosis. Internal stenosis was not noted 25 months postoperatively. The patient could breathe easily through his nose and mouth dryness improved. Conclusion: The flap is relatively thin, easy to elevate with high flexibility and stable blood flow, and useful for nasal vestibular lining reconstruction.
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spelling doaj.art-98d8ae65694b41c698145bfc2517a5992022-12-21T21:32:57ZengElsevierJPRAS Open2352-58782021-09-01296064Reconstruction of nasal vestibular obstruction after total nasal reconstruction using superior subcutaneous pedicle nasolabial flapsMotomu Suito0Takeshi Kitazawa1Department of Plastic and Reconstructive Surgery, Matsunami General Hospital, 185-1, Dendai, Kasamatsu, Hashima-gun Gifu, Japan 501-6062Corresponding author.; Department of Plastic and Reconstructive Surgery, Matsunami General Hospital, 185-1, Dendai, Kasamatsu, Hashima-gun Gifu, Japan 501-6062Objective and Methods: Nasal obstruction after total nasal reconstruction is a serious complication that contributes to breathing difficulty, snoring, and obstructive sleep apnea, which can negatively influence daily activities. However, few treatments have been reported in detail for this condition. Here, a case of nasal vestibular obstruction after total nasal reconstruction that was treated with bilateral superior subcutaneous pedicle nasolabial flaps is reported. Results: An intranasal stent was used postoperatively for five months to prevent restenosis. Internal stenosis was not noted 25 months postoperatively. The patient could breathe easily through his nose and mouth dryness improved. Conclusion: The flap is relatively thin, easy to elevate with high flexibility and stable blood flow, and useful for nasal vestibular lining reconstruction.http://www.sciencedirect.com/science/article/pii/S2352587821000413NoseNasolabialLiningObstructionRhinoplastyVestibule
spellingShingle Motomu Suito
Takeshi Kitazawa
Reconstruction of nasal vestibular obstruction after total nasal reconstruction using superior subcutaneous pedicle nasolabial flaps
JPRAS Open
Nose
Nasolabial
Lining
Obstruction
Rhinoplasty
Vestibule
title Reconstruction of nasal vestibular obstruction after total nasal reconstruction using superior subcutaneous pedicle nasolabial flaps
title_full Reconstruction of nasal vestibular obstruction after total nasal reconstruction using superior subcutaneous pedicle nasolabial flaps
title_fullStr Reconstruction of nasal vestibular obstruction after total nasal reconstruction using superior subcutaneous pedicle nasolabial flaps
title_full_unstemmed Reconstruction of nasal vestibular obstruction after total nasal reconstruction using superior subcutaneous pedicle nasolabial flaps
title_short Reconstruction of nasal vestibular obstruction after total nasal reconstruction using superior subcutaneous pedicle nasolabial flaps
title_sort reconstruction of nasal vestibular obstruction after total nasal reconstruction using superior subcutaneous pedicle nasolabial flaps
topic Nose
Nasolabial
Lining
Obstruction
Rhinoplasty
Vestibule
url http://www.sciencedirect.com/science/article/pii/S2352587821000413
work_keys_str_mv AT motomusuito reconstructionofnasalvestibularobstructionaftertotalnasalreconstructionusingsuperiorsubcutaneouspediclenasolabialflaps
AT takeshikitazawa reconstructionofnasalvestibularobstructionaftertotalnasalreconstructionusingsuperiorsubcutaneouspediclenasolabialflaps