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The pericranial flap for inner lining of full-thickness nasal defects: a retrospective cohort study

Published online by Cambridge University Press:  06 April 2022

T Lewis ,
R Care ,
V Kuta ,
S Secord Open the ORCID record for S Secord [Opens in a new window] ,
J Trites ,
M Corsten ,
M Rigby  and
S M Taylor
T Lewis
Affiliation:
Division of Otolaryngology, Head and Neck Surgery, Department of Surgery, Faculty of Medicine, Dalhousie University, Halifax, Canada
R Care
Affiliation:
Division of Otolaryngology, Head and Neck Surgery, Department of Surgery, Faculty of Medicine, Dalhousie University, Halifax, Canada
V Kuta
Affiliation:
Division of Otolaryngology, Head and Neck Surgery, Department of Surgery, Faculty of Medicine, Dalhousie University, Halifax, Canada
S Secord*
Affiliation:
Faculty of Medicine, Dalhousie University, Halifax, Canada
J Trites
Affiliation:
Division of Otolaryngology, Head and Neck Surgery, Department of Surgery, Faculty of Medicine, Dalhousie University, Halifax, Canada
M Corsten
Affiliation:
Division of Otolaryngology, Head and Neck Surgery, Department of Surgery, Faculty of Medicine, Dalhousie University, Halifax, Canada
M Rigby
Affiliation:
Division of Otolaryngology, Head and Neck Surgery, Department of Surgery, Faculty of Medicine, Dalhousie University, Halifax, Canada
S M Taylor
Affiliation:
Division of Otolaryngology, Head and Neck Surgery, Department of Surgery, Faculty of Medicine, Dalhousie University, Halifax, Canada
*
Author for correspondence: Ms Sabrina Secord, Division of Otolaryngology, Head and Neck Surgery, Faculty of Medicine, Dalhousie University, 6299 South Street, Halifax, NS, Canada B3H 4R2 E-mail: SSecord@dal.ca
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Abstract

Background

Effective nasal reconstruction requires skin and soft tissue cover, cartilage or bone structure, and mucosal lining. Ideal lining is thin, pliable and vascularised, making reconstruction challenging. This paper presents the first case series with long-term outcomes of pericranial flaps used as inner lining for nasal reconstruction.

Methods

Patients undergoing paramedial forehead flaps from 2007 to 2019 were identified using second-stage nasal reconstruction billing codes. Patients with pericranial flaps for lining, for whom there were data on resulting outcomes and complications, were identified.

Results

Sixty-six patients underwent second-stage nasal reconstruction. Eighteen patients had paramedian forehead and pericranial flaps for inner lining reconstruction. The flap lining had no immediate post-operative complications. Three patients suffered partial to major reconstructive failure post radiotherapy. Other complications included nasal stenosis and orocutaneous fistula.

Conclusion

Combined with paramedian forehead flaps, the pericranial flap is reliable as inner lining for nasal reconstruction. It is easily accessible and useful in resections with limited mucosal options.

Keywords

Head And Neck NeoplasmsReconstructive Surgical ProceduresSkin NeoplasmsNasal CancerSurgical Flaps

Information

Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 137 , Issue 5 , May 2023 , pp. 532 - 536
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Ms S Secord takes responsibility for the integrity of the content of the paper

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