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Aesthetic and Functional Evaluation of Total Nasal Reconstructions

  • Luigi Angelo Vaira
  • Olindo Massarelli
  • Giovanna Deiana
  • Silvio Mario Meloni
  • Giovanni Dell’aversana Orabona
  • Pasquale Piombino
  • Giacomo De Riu
Original Article
  • 55 Downloads

Abstract

The loss of a portion or the totality of the nose has great relevance on the perception of the beauty of a face and can result in a catastrophic quality of life impairment. Several surgical techniques are currently available for the reconstruction of the nasal pyramid. However, there are very few nasal reconstruction quality evaluation protocols that allow the surgeon to choose objectively the best technique for each kind of defects. Six total nasal reconstruction performed in University of Sassari Maxillofacial Unit were evaluated with a protocol that investigate objectively and subjectively the surgical aesthetic and functional outcome. Sensitivity recovery on the reconstructive flaps was also assessed. Patients reported a satisfactory nasal reconstruction both functionally and aesthetically. Sensitivity recovery on the forehead flap was always present even after pedicle resection or in case of traumatic section of the infraorbital nerve. The use of a three layer reconstruction has proved a viable technique both aesthetically and functionally. In particular the use of the forehead flap to reconstruct the outer layer of the nose allows to carry a tissue with very similar characteristics to the original with a recovery of the sensitivity almost complete.

Keywords

Nasal reconstruction Nasal reconstruction evaluation Forehead flap Aesthetic nasal evaluation Functional nasal evaluation 

Notes

Compliance with Ethical Standards

Conflicts of interest

The authors declare that they have no conflict of interest.

Ethical approval

This study is approved by University of Sassari Ethical committee.

Informed consent

Additional informed consent was obtained from all individual participants for whom identifying information is included in this article.

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Copyright information

© Association of Otolaryngologists of India 2017

Authors and Affiliations

  • Luigi Angelo Vaira
    • 1
    • 3
  • Olindo Massarelli
    • 1
  • Giovanna Deiana
    • 1
  • Silvio Mario Meloni
    • 2
  • Giovanni Dell’aversana Orabona
    • 3
  • Pasquale Piombino
    • 4
  • Giacomo De Riu
    • 1
  1. 1.Operative Unit of Maxillo-Facial SurgeryUniversity of Sassari HospitalSassariItaly
  2. 2.Dental SchoolUniversity of Sassari HospitalSassariItaly
  3. 3.Operative Unit of Maxillo-Facial SurgeryUniversity of Naples “Federico II” HospitalNaplesItaly
  4. 4.ENT Operative UnitSecond University of Naples HospitalNaplesItaly

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