The RECONSTRUCTION OF NASAL ALA DEFECTS USING THREE STAGED FOLDED FOREHEAD FLAP: AESTHETIC AND FUNCTIONAL OUTCOMES

Objective: To assess short and long term aesthetic and functional outcomes of nasal ala reconstruction by three staged folded forehead flap. Study Design: Prospective study. Place and Duration of Study: Plastic and Reconstructive Surgery Department of Combined Military Hospital Bahawalpur and...

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Autores principales:	Ghazanfar Ali, Moizza Tahir, Maqbool Raza, Danish Almas, Abdul Majid, Yasser Saeed Khan
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2021
Materias:	aesthetic outcomes cartilage forehead flap nasal ala reconstruction Medicine R Medicine (General) R5-920
Acceso en línea:	https://doi.org/10.51253/pafmj.v71iSuppl-1.4069 https://doaj.org/article/8b0f4833edf1443a91ead1cc25009cb7
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spelling	oai:doaj.org-article:8b0f4833edf1443a91ead1cc25009cb72021-12-02T15:01:56ZThe RECONSTRUCTION OF NASAL ALA DEFECTS USING THREE STAGED FOLDED FOREHEAD FLAP: AESTHETIC AND FUNCTIONAL OUTCOMEShttps://doi.org/10.51253/pafmj.v71iSuppl-1.40690030-96482411-8842https://doaj.org/article/8b0f4833edf1443a91ead1cc25009cb72021-01-01T00:00:00Zhttps://pafmj.org/index.php/PAFMJ/article/view/4069https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To assess short and long term aesthetic and functional outcomes of nasal ala reconstruction by three staged folded forehead flap. Study Design: Prospective study. Place and Duration of Study: Plastic and Reconstructive Surgery Department of Combined Military Hospital Bahawalpur and Quetta, from Dec 2014 to Dec 2018. Methodology: Total of 29 patients were enrolled through consecutive sampling technique. Nasal ala defects were reconstructed by three staged frontal forehead flap under general anesthesia. Follow up visit at 2 weeks bleeding, wound Infection, partial skin graft loss and partial flap necrosis was documented. Follow up at 24 weeks, functional outcome of nasal reconstruction was assessed by history and clinical examination for nasal obstruction and/or crusting. Patients’ subjective satisfaction about aesthetic outcome of nasal reconstruction was documented on 5 point likert scale. Objective aesthetic assessment of reconstruction was done on 2D photograph by two independent surgeons. Results: Twenty six (89.66%) males and 3 (10.34%) females participated in study. The mean age was 35 years range 16 to 64 years. Follow up at two weeks revealed postoperative bleeding in 2 (6.8%), wound infection in 1 (3.4%) and partial flap loss in 1 (3.4%) patient. At 24 weeks follow up all patients had patent nasal ala. Subjective and objective assessment of nose shape was documented. Conclusion: Use of three staged folded forehead flapis useful method of reconstruction for full thickness defects of nasal alaewith good functional and aesthetic outcome.Ghazanfar AliMoizza TahirMaqbool RazaDanish AlmasAbdul MajidYasser Saeed KhanArmy Medical College Rawalpindiarticleaesthetic outcomescartilageforehead flapnasal ala reconstructionMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 71, Iss SUPPL-1, Pp 170-174 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	aesthetic outcomes cartilage forehead flap nasal ala reconstruction Medicine R Medicine (General) R5-920
spellingShingle	aesthetic outcomes cartilage forehead flap nasal ala reconstruction Medicine R Medicine (General) R5-920 Ghazanfar Ali Moizza Tahir Maqbool Raza Danish Almas Abdul Majid Yasser Saeed Khan The RECONSTRUCTION OF NASAL ALA DEFECTS USING THREE STAGED FOLDED FOREHEAD FLAP: AESTHETIC AND FUNCTIONAL OUTCOMES
description	Objective: To assess short and long term aesthetic and functional outcomes of nasal ala reconstruction by three staged folded forehead flap. Study Design: Prospective study. Place and Duration of Study: Plastic and Reconstructive Surgery Department of Combined Military Hospital Bahawalpur and Quetta, from Dec 2014 to Dec 2018. Methodology: Total of 29 patients were enrolled through consecutive sampling technique. Nasal ala defects were reconstructed by three staged frontal forehead flap under general anesthesia. Follow up visit at 2 weeks bleeding, wound Infection, partial skin graft loss and partial flap necrosis was documented. Follow up at 24 weeks, functional outcome of nasal reconstruction was assessed by history and clinical examination for nasal obstruction and/or crusting. Patients’ subjective satisfaction about aesthetic outcome of nasal reconstruction was documented on 5 point likert scale. Objective aesthetic assessment of reconstruction was done on 2D photograph by two independent surgeons. Results: Twenty six (89.66%) males and 3 (10.34%) females participated in study. The mean age was 35 years range 16 to 64 years. Follow up at two weeks revealed postoperative bleeding in 2 (6.8%), wound infection in 1 (3.4%) and partial flap loss in 1 (3.4%) patient. At 24 weeks follow up all patients had patent nasal ala. Subjective and objective assessment of nose shape was documented. Conclusion: Use of three staged folded forehead flapis useful method of reconstruction for full thickness defects of nasal alaewith good functional and aesthetic outcome.
format	article
author	Ghazanfar Ali Moizza Tahir Maqbool Raza Danish Almas Abdul Majid Yasser Saeed Khan
author_facet	Ghazanfar Ali Moizza Tahir Maqbool Raza Danish Almas Abdul Majid Yasser Saeed Khan
author_sort	Ghazanfar Ali
title	The RECONSTRUCTION OF NASAL ALA DEFECTS USING THREE STAGED FOLDED FOREHEAD FLAP: AESTHETIC AND FUNCTIONAL OUTCOMES
title_short	The RECONSTRUCTION OF NASAL ALA DEFECTS USING THREE STAGED FOLDED FOREHEAD FLAP: AESTHETIC AND FUNCTIONAL OUTCOMES
title_full	The RECONSTRUCTION OF NASAL ALA DEFECTS USING THREE STAGED FOLDED FOREHEAD FLAP: AESTHETIC AND FUNCTIONAL OUTCOMES
title_fullStr	The RECONSTRUCTION OF NASAL ALA DEFECTS USING THREE STAGED FOLDED FOREHEAD FLAP: AESTHETIC AND FUNCTIONAL OUTCOMES
title_full_unstemmed	The RECONSTRUCTION OF NASAL ALA DEFECTS USING THREE STAGED FOLDED FOREHEAD FLAP: AESTHETIC AND FUNCTIONAL OUTCOMES
title_sort	reconstruction of nasal ala defects using three staged folded forehead flap: aesthetic and functional outcomes
publisher	Army Medical College Rawalpindi
publishDate	2021
url	https://doi.org/10.51253/pafmj.v71iSuppl-1.4069 https://doaj.org/article/8b0f4833edf1443a91ead1cc25009cb7
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The RECONSTRUCTION OF NASAL ALA DEFECTS USING THREE STAGED FOLDED FOREHEAD FLAP: AESTHETIC AND FUNCTIONAL OUTCOMES

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