Reconstruction of Nasal Defect Using a Local Flap Based in the Nanoperforants Concept: A Case Report

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DOI: 10.23880/ijtps-16000196

Volume 8, Issue 2

Abstract

The nose is a complex structure, covered with multiple tissues, which requires great anatomical and topographic knowledge in aesthetic subunits for its adequate reconstruction. The following article reports the case of a nasal reconstruction of a wound with a coverage defect with involvement of the subunit of the left nasal wall, using a local flap taking as reference the flap with irrigation based on randomly located nanoperforants and the Keystone flap. The patient did not suffer complications or flap loss during the procedure, postoperatively, or during follow-up. For nasal reconstruction, it is necessary to use tissue similar in color, texture and thickness to that of the defect area, recovering the three-dimensional structure, which is especially difficult in traumatic wounds. The flap used provided adequate functional and aesthetic coverage in a large defect of traumatic origin, obtaining a hidden scar, without requiring a frontal pedicled flap, which has been the gold standard for many years.

Keywords: Nanoperforants; Nasal Bones; Anesthetic; Keystone Flap; Frontal Pedicled Flap

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