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Levator anguli oris muscle based flaps for nasal reconstruction following resection of nasal skin tumours.

Denewer A, Farouk O, Fady T, Shahatto F - World J Surg Oncol (2011)

Bottom Line: The aim of this work is the evaluation of the feasibility and outcome of levator anguli oris muscle based flaps.Wound dehiscence was the commonest complication.Minor complications, in the form of haematoma and minor flap loss were managed conservatively.

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Affiliation: Surgical Oncology Department, Oncology Center, Mansoura University, Egypt. adeldenewer@mans.edu.eg

ABSTRACT

Background: surgical excision remains the best tool for management of skin tumors affecting nasal skin, however many surgical techniques have been used for reconstruction of the nasal defects caused by excisional surgery. The aim of this work is the evaluation of the feasibility and outcome of levator anguli oris muscle based flaps.

Methods: Ninety patients of malignant nasal skin tumours were included in this study. Age was ranged from four to 78 years. For small unilateral defects affecting only one side ala nasi, levator anguli oris myocautaneous (LAOMC) flap was used in 45 patients. For unilateral compound loss of skin and mucus membrane, levator anguli oris myocautaneous mucosal (LAOMCM) flap was used in 23 patients. Very large defects; bilateral either LAOMC or LAOMCM flaps combined with forehead glabellar flaps were used to reconstruct the defect in 22 patients.

Results: Wound dehiscence was the commonest complication. Minor complications, in the form of haematoma and minor flap loss were managed conservatively. Partial flap loss was encountered in 6 patients with relatively larger tumours or diabetic co-morbidity, three of whom were required operative re-intervention in the form of debridement and flap refashioning, while total flap loss was not occurred at all.

Conclusions: Immediate nasal reconstruction for nasal skin and mucosal tumours with levator anguli oris muscle based flaps (LAOMC, LAOMCM) is feasible and spares the patient the psychic trauma due to organ loss.

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A 47 years woman presented with BCC on the left side of the nasal skin, to whom a pedicled LAOMC flap was used to reconstruct the nasal defect. 4a: preoperative. 4b: two weeks postoperative. 4c: two months postoperative.
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Figure 4: A 47 years woman presented with BCC on the left side of the nasal skin, to whom a pedicled LAOMC flap was used to reconstruct the nasal defect. 4a: preoperative. 4b: two weeks postoperative. 4c: two months postoperative.

Mentions: 1- For small unilateral defects affecting only one side ala nasi, levator anguli oris myocautaneous (LAOMC) flap that includes both skin and muscle was used in 45 patients (Figure 4), of them 16 patients with tunneled flap (Figure 5 &6).


Levator anguli oris muscle based flaps for nasal reconstruction following resection of nasal skin tumours.

Denewer A, Farouk O, Fady T, Shahatto F - World J Surg Oncol (2011)

A 47 years woman presented with BCC on the left side of the nasal skin, to whom a pedicled LAOMC flap was used to reconstruct the nasal defect. 4a: preoperative. 4b: two weeks postoperative. 4c: two months postoperative.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3046908&req=5

Figure 4: A 47 years woman presented with BCC on the left side of the nasal skin, to whom a pedicled LAOMC flap was used to reconstruct the nasal defect. 4a: preoperative. 4b: two weeks postoperative. 4c: two months postoperative.
Mentions: 1- For small unilateral defects affecting only one side ala nasi, levator anguli oris myocautaneous (LAOMC) flap that includes both skin and muscle was used in 45 patients (Figure 4), of them 16 patients with tunneled flap (Figure 5 &6).

Bottom Line: The aim of this work is the evaluation of the feasibility and outcome of levator anguli oris muscle based flaps.Wound dehiscence was the commonest complication.Minor complications, in the form of haematoma and minor flap loss were managed conservatively.

View Article: PubMed Central - HTML - PubMed

Affiliation: Surgical Oncology Department, Oncology Center, Mansoura University, Egypt. adeldenewer@mans.edu.eg

ABSTRACT

Background: surgical excision remains the best tool for management of skin tumors affecting nasal skin, however many surgical techniques have been used for reconstruction of the nasal defects caused by excisional surgery. The aim of this work is the evaluation of the feasibility and outcome of levator anguli oris muscle based flaps.

Methods: Ninety patients of malignant nasal skin tumours were included in this study. Age was ranged from four to 78 years. For small unilateral defects affecting only one side ala nasi, levator anguli oris myocautaneous (LAOMC) flap was used in 45 patients. For unilateral compound loss of skin and mucus membrane, levator anguli oris myocautaneous mucosal (LAOMCM) flap was used in 23 patients. Very large defects; bilateral either LAOMC or LAOMCM flaps combined with forehead glabellar flaps were used to reconstruct the defect in 22 patients.

Results: Wound dehiscence was the commonest complication. Minor complications, in the form of haematoma and minor flap loss were managed conservatively. Partial flap loss was encountered in 6 patients with relatively larger tumours or diabetic co-morbidity, three of whom were required operative re-intervention in the form of debridement and flap refashioning, while total flap loss was not occurred at all.

Conclusions: Immediate nasal reconstruction for nasal skin and mucosal tumours with levator anguli oris muscle based flaps (LAOMC, LAOMCM) is feasible and spares the patient the psychic trauma due to organ loss.

Show MeSH
Related in: MedlinePlus