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Island Pedicle and Bilobed Flaps in Ala and Back Nose Reconstruction: A Prospective Comparative Analysis

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Abstract

Background

Reconstruction of face deformities resulting from skin cancer includes reconstructing the area with similar tissue. This prospective study aimed to compare the functional and aesthetic outcomes between two types of local flaps (the island pedicle flap vs the bilobed flap) used in reconstruction of the ala and back nose.

Methods

In this study, 120 patients with skin cancer of the nose underwent ala and back reconstruction: 60 patients using the island flap (IF group) and 60 patients using the bilobed flap (BF group). The two groups were homogeneous for sex, age, and anatomic area. Complications, scarring according to the scale of Vancouver, cosmetic appearance, and disorders of sensations were analyzed, and statistical analysis was performed using Chi-square and analysis of variance (ANOVA).

Results

Early complications were more common in the BF group than in the IF group (p < 0.005). The Vancouver Scar Scale scores were significantly better for the IF patients (p < 0,005), who also showed better results in the analysis of cosmetic outcomes (p < 0.005).

Conclusion

The study showed that the island flap used for ala and back nose reconstruction provides better functional and cosmetic results than the bilobed flap, from both functional and aesthetic points of view.

Level of Evidence III

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

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Conflict of interest

The authors declare that they have no conflicts of interest to disclose.

Ethical approval

The ethical approval was given for our study. The Helsinki Declaration guidelines were followed in this investigation.

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Authors and Affiliations

  1. Department of Plastic Reconstructive and Aesthetic Surgery, University of Rome “Sapienza”, Policlinico Umberto I, Viale del Policlinico 155, 00161, Rome, Italy

    Cristiano Monarca, Maria Ida Rizzo, Pasquale Fino, Paola Parisi & Nicolò Scuderi

  2. Department of Infectious, Parasitic, and Immune-Mediated Diseases, National Institute of Health, 00161, Rome, Italy

    Annapina Palmieri

Authors
  1. Cristiano Monarca
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  2. Maria Ida Rizzo
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  3. Annapina Palmieri
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  4. Pasquale Fino
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  5. Paola Parisi
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  6. Nicolò Scuderi
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Corresponding author

Correspondence to Maria Ida Rizzo.

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Monarca, C., Rizzo, M.I., Palmieri, A. et al. Island Pedicle and Bilobed Flaps in Ala and Back Nose Reconstruction: A Prospective Comparative Analysis. Aesth Plast Surg 36, 1168–1174 (2012). https://doi.org/10.1007/s00266-012-9935-9

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  • DOI: https://doi.org/10.1007/s00266-012-9935-9

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