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DOI: 10.1055/a-2145-7072
Functional Nasal Surgery in a Compromised Soft Tissue Envelope
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Abstract
Functional nasal surgery in the setting of a compromised soft tissue envelope (STE) requires significant planning and preparation. Proper preoperative evaluation is imperative to assess the degree of STE compromise and determine the best surgical approach. Alternative approaches to functional nasal surgery, such as limited access surgical approaches, should be considered to minimize complications while achieving functional improvement. Given the increased risk of ischemia and necrosis in individuals with a history of a compromised STE, a comprehensive postoperative treatment algorithm is necessary to identify and treat signs of early vascular compromise.
Keywords
nasal soft tissue envelope - compromised soft tissue envelope - functional nasal surgery - vascular compromise - necrosisAuthor Contribution
B.S.D. and S.M. was responsible for lead conceptualization, resources, writing-original draft, and writing-reviewing and editing.
Publikationsverlauf
Accepted Manuscript online:
01. August 2023
Artikel online veröffentlicht:
29. August 2023
© 2023. Thieme. All rights reserved.
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References
- 1 Gruber RP, Shih HB, Lin WC. Commentary on: managing the difficult soft tissue envelope in facial and rhinoplasty surgery. Aesthet Surg J 2017; 37 (02) 158-160
- 2 Kosins AM, Obagi ZE. Managing the difficult soft tissue envelope in facial and rhinoplasty surgery. Aesthet Surg J 2017; 37 (02) 143-157
- 3 Madorsky S, Do A, Meltzer O. Superior extended nasal myocutaneous island flap: An alternative to forehead flap reconstruction of the nose. Facial Plast Surg Aesthet Med 2020; 22 (04) 294-300
- 4 Petit JY, Avril MF, Margulis A. et al. Evaluation of cosmetic results of a randomized trial comparing surgery and radiotherapy in the treatment of basal cell carcinoma of the face. Plast Reconstr Surg 2000; 105 (07) 2544-2551
- 5 Elver AA, Egan KG, Cullom ME. et al. A paradigm shift: outcomes of early autologous breast reconstruction after radiation therapy. J Reconstr Microsurg 2023; 39 (02) 111-119
- 6 Toriumi DM, Kao R, Vandenberg T, Cristel R, Caniglia AJ. Auricular composite graft survival in rhinoplasty. Facial Plast Surg Aesthet Med 2023; 25 (01) 6-15
- 7 Ferzli G, Araslanova R, Sukato D, Romo III T. Skin necrosis following rhinoplasty: a review and proposed strategy on identifying high-risk patients. Facial Plast Surg 2021; 37 (04) 543-549
- 8 Gillies H, Kilner TP. Hare-Lip: operations for the correction of secondary deformities. Lancet 1932; 220 (5704) 1369-1375
- 9 Kerolus JL, Nassif PS. Treatment protocol for compromised nasal skin. Facial Plast Surg Clin North Am 2019; 27 (04) 505-511
- 10 Davis RE, Wachholz JH, Jassir D, Perlyn CA, Agrama MH. Comparison of topical anti-ischemic agents in the salvage of failing random-pattern skin flaps in rats. Arch Facial Plast Surg 1999; 1 (01) 27-32
- 11 Kerrigan CL. Skin flap failure: pathophysiology. Plast Reconstr Surg 1983; 72 (06) 766-777
- 12 Francis A, Baynosa RC. Hyperbaric oxygen therapy for the compromised graft or flap. Adv Wound Care (New Rochelle) 2017; 6 (01) 23-32
- 13 Sig AK, Guney M, Guclu AU, Ozmen E. Medicinal leech therapy—an overall perspective. Integr Med Res 2017; 6 (04) 337-343
- 14 Nguyen MQ, Crosby MA, Skoracki RJ, Hanasono MM. Outcomes of flap salvage with medicinal leech therapy. Microsurgery 2012; 32 (05) 351-357