Evaluation of the results of the surgical intervention by Flaps or Grafts in reconstruction of nasal skin defects.

Authors

  • Feras Melhem
  • Mustafa Ibraheem Tishreen University
  • Alaa Ashkar Tishreen University

Abstract

Background: Nasal reconstruction is considered as one of the difficult reconstructive problems. That is due to the importance of the cosmetic appearance of nose and complexity of the anatomy. Many types of cutaneous grafts and flaps were designed; nevertheless, management of nasal defects can be often challenging. 

Objective: The aim of this study is to evaluate reconstruction of cutaneous nasal defects with skin grafts versus flaps. In addition to, to determine cosmetic and functional results of each method.

Patients and Methods: Comparative Prospective Study conducted for the period one years(2019-2020) at Tishreen University Hospital  in Lattakia-Syria. 45 patients with nasal cutaneous defect who underwent to nasal reconstruction by using flaps(35 patients) or grafts(10 patients) were included in the study. 

Results : Mean age was 66.3±9.8 years, 53.3% were females, and Fitzpatrick skin type III was the most frequent. Flaps were more commonly applied on the nasal alar (34.3%), grafts were more frequently in sidewall(60%), without significant difference regard to defect size and number of affected units. Mean VAS was higher in flaps compared to grafts, the best VAS value for flaps was in nasal dorsal 77±8, and for grafts in nasal tip 55±3. The best esthetic and functional results were obtained in flaps, and satisfactory results was higher in flaps(94%) compared to grafts(70%) .  

Conclusion: With presence of different reconstructive methods, flaps may be more likely to result in best cosmetic and functional outcomes.   

Author Biographies

Feras Melhem

Assistant Professor, Department of surgery, Faculty of Medicine

Mustafa Ibraheem, Tishreen University

Professor, Faculty of Medicine

Alaa Ashkar, Tishreen University

Master student, Department of surgery, Faculty of Medicine

Downloads

Published

2022-06-16

How to Cite

1.
فراس ملحم, مصطفى ابراهيم, علاء اشقر. Evaluation of the results of the surgical intervention by Flaps or Grafts in reconstruction of nasal skin defects. Tuj-hlth [Internet]. 2022Jun.16 [cited 2024Apr.27];44(2):395-406. Available from: https://journal.tishreen.edu.sy/index.php/hlthscnc/article/view/12691

Issue

Vol. 44 No. 2 (2022): Tishreen University Journal for Research and Scientific Studies - Health Sciences Series

Section

Master student researches

License

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

The authors retain the copyright and grant the right to publish in the magazine for the first time with the transfer of the commercial right to Tishreen University Journal for Research and Scientific Studies - Health Sciences Series

 Under a CC BY- NC-SA 04 license that allows others to share the work with of the work's authorship and initial publication in this journal. Authors can use a copy of their articles in their scientific activity, and on their scientific websites, provided that the place of publication is indicted in  Tishreen University Journal for Research and Scientific Studies - Health Sciences Series   .  The Readers have the right to send, print and subscribe to the initial version of the article, and the title of  Tishreen University Journal for Research and Scientific Studies - Health Sciences Series  Publisher

journal uses a CC BY-NC-SA license which mean

You are free to:

  • Adapt — remix, transform, and build upon the material
  •  
  • The licensor cannot revoke these freedoms as long as you follow the license terms.

 

  • Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
  • NonCommercial — You may not use the material for commercial purposes.
  • ShareAlike — If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.
  • No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.

Most read articles by the same author(s)