Reconstruction of nasal vestibular obstruction after total nasal reconstruction using superior subcutaneous pedicle nasolabial flaps

Motomu Suito; Takeshi Kitazawa

doi:10.1016/j.jpra.2021.04.010

Reconstruction of nasal vestibular obstruction after total nasal reconstruction using superior subcutaneous pedicle nasolabial flaps

JPRAS Open. 2021 May 17:29:60-64. doi: 10.1016/j.jpra.2021.04.010. eCollection 2021 Sep.

Authors

Motomu Suito¹, Takeshi Kitazawa¹

Affiliation

¹ Department of Plastic and Reconstructive Surgery, Matsunami General Hospital, 185-1, Dendai, Kasamatsu, Hashima-gun Gifu, Japan 501-6062.

Abstract

Objective and methods: Nasal obstruction after total nasal reconstruction is a serious complication that contributes to breathing difficulty, snoring, and obstructive sleep apnea, which can negatively influence daily activities. However, few treatments have been reported in detail for this condition. Here, a case of nasal vestibular obstruction after total nasal reconstruction that was treated with bilateral superior subcutaneous pedicle nasolabial flaps is reported.

Results: An intranasal stent was used postoperatively for five months to prevent restenosis. Internal stenosis was not noted 25 months postoperatively. The patient could breathe easily through his nose and mouth dryness improved.

Conclusion: The flap is relatively thin, easy to elevate with high flexibility and stable blood flow, and useful for nasal vestibular lining reconstruction.

Keywords: Lining; Nasolabial; Nose; Obstruction; Rhinoplasty; Vestibule.

Publication types

Case Reports