<abstract xmlns="http://www.w3.org/1999/xhtml"><p> We present a reconstruction of a posttraumatic nasal lobular and alar defect in a three-stage intervention. The first operation restored the cartilaginous support by a combination of a free conchal composite graft and a septal chondromucosal pivotal flap covered by a paramedian forehead pedicled flap. The second operation separated the pedicle of the flap, followed one month later by cosmetic refinements. We restored both length and shape of the nose and a functional symmetrical nostril. Surgical options are discussed regarding available donor areas and techniques.</p><p>Conclusion. Lobule reconstruction must be performed as an entire esthetic unit and must address all three layers - skin, cartilage and internal lining. Careful planning is fundamental in ensuring good cosmetic results.</p></abstract>

We present a reconstruction of a posttraumatic nasal lobular and alar defect in a three-stage intervention. The first operation restored the cartilaginous support by a combination of a free conchal composite graft and a septal chondromucosal pivotal flap covered by a paramedian forehead pedicled flap. The second operation separated the pedicle of the flap, followed one month later by cosmetic refinements. We restored both length and shape of the nose and a functional symmetrical nostril. Surgical options are discussed regarding available donor areas and techniques.Conclusion. Lobule reconstruction must be performed as an entire esthetic unit and must address all three layers - skin, cartilage and internal lining. Careful planning is fundamental in ensuring good cosmetic results.

Nasal alar and lobule reconstruction – Case presentation

“Gr. T. Popa” University of Medicine and Pharmacy, Iasi, Romania

Plastic and Reconstructive Surgery Department, “Sfantul Spiridon” County Emergency Hospital, Iasi, Romania

ENT&HNS Department, “Sfantul Spiridon” County Emergency Hospital, Iasi, Romania

Romanian Journal of Rhinology

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

{"article-title":"Nasal alar and lobule reconstruction \u2013 Case presentation"}

We present a reconstruction of a posttraumatic nasal lobular and alar defect in a three-stage intervention. The first operation restored the cartilaginous...

Nasal alar and lobule reconstruction – Case presentation

Published Online: Nov 18, 2015

Page range: 233 - 236

DOI: https://doi.org/10.1515/rjr-2015-0028

Keywords
nasal lobule reconstruction, chondromucosal pivotal flap, paramedian forehead flap

© 2015

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Nasal alar and lobule reconstruction – Case presentation

Published Online: Nov 18, 2015

Page range: 233 - 236

DOI: https://doi.org/10.1515/rjr-2015-0028

Keywordsnasal lobule reconstruction, chondromucosal pivotal flap, paramedian forehead flap

© 2015

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Keywords
nasal lobule reconstruction, chondromucosal pivotal flap, paramedian forehead flap