Prevalência das técnicas de reconstrução nasal utilizadas nos últimos quatro anos em serviço de Cirurgia Plástica do Ceará
INTRODUCTION: Nasal skin lesions are significance in plastic surgery because of the difficult of aesthetic and functional reconstruction. Central position of the nose on the face, and its structure, rigid architecture, and low mobility are among the possible causes. Several techniques used to correc...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Sociedade Brasileira de Cirurgia Plástica
2016-12-01
|
| Series: | Revista Brasileira de Cirurgia Plástica |
| Subjects: | |
| Online Access: | http://www.rbcp.org.br/export-pdf/1786/en_v31n4a08.pdf |
| _version_ | 1797419470895972352 |
|---|---|
| author | William de Almeida Machado Salustiano Gomes de Pinho Pessoa |
| author_facet | William de Almeida Machado Salustiano Gomes de Pinho Pessoa |
| author_sort | William de Almeida Machado |
| collection | DOAJ |
| description | INTRODUCTION: Nasal skin lesions are significance in plastic surgery because of the difficult of aesthetic and functional reconstruction. Central position of the nose on the face, and its structure, rigid architecture, and low mobility are among the possible causes. Several techniques used to correct nasal defects have been documented since the origins of plastic surgery. We evaluated retrospectively and analyzed the main surgical techniques and their indications in cases of nasal reconstruction performed at the Plastic Surgery Service of Ceará over a period of 4 years.
METHODS: This was a retrospective clinical study including 151 patients who underwent resection of nasal lesions from January 2010 to December 2014 at a public hospital in Fortaleza. Variables included were sex, age, and surgical technique.
RESULTS: Most of patients were men with a mean age of 63.2 years, they accounted for 52.3% of the sample. The main reconstruction forms were primary suture (28.5%), rotational flap (22.5%), bilobate (14.6%), advancement flap (8.6%), nasogenian (6%), frontal (4.7%) and skin graft (15.2%).
CONCLUSION: Because of the different nasal reconstruction possibilities, the surgical technique choice, after resections, should consider defect location and size, contour and nasal anatomy for a better aesthetic and functional result. At our service, reconstruction with primary lesion synthesis was predominant with a slight predominance among men and older patients. Other techniques were used given the preference for better aesthetic and functional result for each patient. |
| first_indexed | 2024-03-09T06:47:47Z |
| format | Article |
| id | doaj.art-f5d18d4425ce4d0ca03b6958fd1ed6e0 |
| institution | Directory Open Access Journal |
| issn | 1983-5175 2177-1235 |
| language | English |
| last_indexed | 2024-03-09T06:47:47Z |
| publishDate | 2016-12-01 |
| publisher | Sociedade Brasileira de Cirurgia Plástica |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj.art-f5d18d4425ce4d0ca03b6958fd1ed6e02023-12-03T10:33:26ZengSociedade Brasileira de Cirurgia PlásticaRevista Brasileira de Cirurgia Plástica1983-51752177-12352016-12-01310449149510.5935/2177-1235.2016RBCP0081Prevalência das técnicas de reconstrução nasal utilizadas nos últimos quatro anos em serviço de Cirurgia Plástica do CearáWilliam de Almeida Machado0Salustiano Gomes de Pinho Pessoa1Hospital Universitário Walter Cantídio (HUWC), Fortaleza, CE, BrazilSociedade Brasileira de Cirurgia Plástica, São Paulo, SP, BrazilINTRODUCTION: Nasal skin lesions are significance in plastic surgery because of the difficult of aesthetic and functional reconstruction. Central position of the nose on the face, and its structure, rigid architecture, and low mobility are among the possible causes. Several techniques used to correct nasal defects have been documented since the origins of plastic surgery. We evaluated retrospectively and analyzed the main surgical techniques and their indications in cases of nasal reconstruction performed at the Plastic Surgery Service of Ceará over a period of 4 years. METHODS: This was a retrospective clinical study including 151 patients who underwent resection of nasal lesions from January 2010 to December 2014 at a public hospital in Fortaleza. Variables included were sex, age, and surgical technique. RESULTS: Most of patients were men with a mean age of 63.2 years, they accounted for 52.3% of the sample. The main reconstruction forms were primary suture (28.5%), rotational flap (22.5%), bilobate (14.6%), advancement flap (8.6%), nasogenian (6%), frontal (4.7%) and skin graft (15.2%). CONCLUSION: Because of the different nasal reconstruction possibilities, the surgical technique choice, after resections, should consider defect location and size, contour and nasal anatomy for a better aesthetic and functional result. At our service, reconstruction with primary lesion synthesis was predominant with a slight predominance among men and older patients. Other techniques were used given the preference for better aesthetic and functional result for each patient.http://www.rbcp.org.br/export-pdf/1786/en_v31n4a08.pdfrhinoplastysurgical flapsgrafts |
| spellingShingle | William de Almeida Machado Salustiano Gomes de Pinho Pessoa Prevalência das técnicas de reconstrução nasal utilizadas nos últimos quatro anos em serviço de Cirurgia Plástica do Ceará Revista Brasileira de Cirurgia Plástica rhinoplasty surgical flaps grafts |
| title | Prevalência das técnicas de reconstrução nasal utilizadas nos últimos quatro anos em serviço de Cirurgia Plástica do Ceará |
| title_full | Prevalência das técnicas de reconstrução nasal utilizadas nos últimos quatro anos em serviço de Cirurgia Plástica do Ceará |
| title_fullStr | Prevalência das técnicas de reconstrução nasal utilizadas nos últimos quatro anos em serviço de Cirurgia Plástica do Ceará |
| title_full_unstemmed | Prevalência das técnicas de reconstrução nasal utilizadas nos últimos quatro anos em serviço de Cirurgia Plástica do Ceará |
| title_short | Prevalência das técnicas de reconstrução nasal utilizadas nos últimos quatro anos em serviço de Cirurgia Plástica do Ceará |
| title_sort | prevalencia das tecnicas de reconstrucao nasal utilizadas nos ultimos quatro anos em servico de cirurgia plastica do ceara |
| topic | rhinoplasty surgical flaps grafts |
| url | http://www.rbcp.org.br/export-pdf/1786/en_v31n4a08.pdf |
| work_keys_str_mv | AT williamdealmeidamachado prevalenciadastecnicasdereconstrucaonasalutilizadasnosultimosquatroanosemservicodecirurgiaplasticadoceara AT salustianogomesdepinhopessoa prevalenciadastecnicasdereconstrucaonasalutilizadasnosultimosquatroanosemservicodecirurgiaplasticadoceara |