Reconstruction of Nasal Alar Defects with Freestyle Facial Artery Perforator Flaps

Salvatore D'Arpa; Roberto Pirrello; Francesca Toia; Francesco Moschella; Adriana Cordova

doi:10.1055/s-0034-1376873

Facial Plastic Surgery, Table of Contents

Facial Plast Surg 2014; 30(03): 277-286
DOI: 10.1055/s-0034-1376873

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Reconstruction of Nasal Alar Defects with Freestyle Facial Artery Perforator Flaps

Salvatore D'Arpa

¹Chirurgia Plastica e Ricostruttiva–Dipartimento di Discipline Chirurgiche, Oncologiche e Stomatologiche, Università degli Studi di Palermo, Palermo, Italy

,

Roberto Pirrello

¹Chirurgia Plastica e Ricostruttiva–Dipartimento di Discipline Chirurgiche, Oncologiche e Stomatologiche, Università degli Studi di Palermo, Palermo, Italy

,

Francesca Toia

¹Chirurgia Plastica e Ricostruttiva–Dipartimento di Discipline Chirurgiche, Oncologiche e Stomatologiche, Università degli Studi di Palermo, Palermo, Italy

,

Francesco Moschella

¹Chirurgia Plastica e Ricostruttiva–Dipartimento di Discipline Chirurgiche, Oncologiche e Stomatologiche, Università degli Studi di Palermo, Palermo, Italy

,

Adriana Cordova

¹Chirurgia Plastica e Ricostruttiva–Dipartimento di Discipline Chirurgiche, Oncologiche e Stomatologiche, Università degli Studi di Palermo, Palermo, Italy

› Author Affiliations

Abstract

In 2009, we have described the use of freestyle facial artery perforator flaps for one-stage nose reconstruction. Since then, several articles have reported the use of facial artery perforator flaps for nose reconstruction. The purpose of this article is to provide an update of the published technique after 10 years of experience. Since 2004, 21 patients have been treated with a freestyle facial artery perforator flap for one-stage reconstruction of the nasal ala. The flaps were 16 propellers, 4 V-Y, and 1 island transposition. A single venous congestion leading to a minor flap tip necrosis and a wound dehiscence was observed. All other flaps healed uneventfully. The V-Y design and multiple subunit reconstruction gave suboptimal results. It was concluded that indications for freestyle facial artery perforator flaps are total nasal alar subunit reconstruction or reconstruction of lateral alar defects when perforator anatomy allows. In these cases, freestyle facial artery perforator flaps are the first choice technique at our institution because they allow excellent results in one-stage operation. One-stage nasal ala reconstruction with freestyle facial artery perforator flaps.

Keywords

freestyle flap - propeller flap - perforator flap - facial artery perforator - nose - reconstruction

Full Text

References

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