Flap Necrosis in Nose Reconstruction With a Nasal Labial and Nasal Dorsal Flap, Skin Cancer, Kevin Kavanagh
Flap Necrosis in Nose Reconstruction With a Nasal Labial and Nasal Dorsal Flap, Skin Cancer, Kevin Kavanagh
   Advertisements
 


 
Nasal Labial and Nasal Dorsal Flap Necrosis during
Nose Reconstruction in a Patient Skin Cancer

Case #1

1.

2.

This is a nasal labial flap which was used to close a nasal tip defect in a 90 yr old patient.  A single stage surgery was requested.  The patient was started on Pentoxifylline immediately after the operation and told not to use tobacco products.

The flap was 4.5 by 1.5 cm and had a length to base ratio of approximately
3 : 1 .  The distal 0.75 cm of the flap was lost.  the surviving portion of the flap had a length to base ration of  2.5 : 1 . 

Advertisements

3.

4 month post-operative result

 
Case #2

1.

2

Nose Defect After Excision of Lesion

The flap had a length to base ratio of approximately 1.5 : 1  Despite this the lower aspect of the flap had mild cyanosis.  The patient was started on Pentoxifylline and told not to use tobacco products.

3.

4.

At 5 days the lower end of the flap was becoming necrotic.  Sutures were released and the flap regained some color.

At 7 days the necrotic area demarcated.  The escar was not disturbed since fibrous tissue below the skin may still be viable

5.

6.

5 mo Post Op Result 

5 mo Post Op Result  

7.

8.

8 mo Post Op Result

The final result after healing by secondary intension is shown here.

8 mo Post Op Result

The final result after healing by secondary intension is shown here.

Up Forehead Flap Forehead Flap - Flash Abbe Estlander Flap Abbe Estlander Flash Abbe Estlander Flap Abbe Estlander Flap Rotation Advancement Rotation Advancement Rhomboid Flap Rhomboid Flap Rhomboid Flap Bilobed Flap Bilobed Flap - Flash Nasolabial Flap Nasal Labial Flap Nasolabial Flap Nasolabial Flap Ear Reconstruction Nasolabial Flap Ear Reconstruction Ear Reconstct. Flash Flap Necrosis
     
  


For Continuing Medical Education Credits
Go To: 
 
Return to Ear Nose and Throat - U.S.A.
(Over 1000 pictures, 90 Videos and 250 pages of info.)
 

   
The Following Websites are Searched:  www.entusa.com, www.waent.org , www.ear-anatomy.com, www.occupationalhearingloss.com, www.cme-usa.org and www.tobacco-facts.info


Subscribe to a Mailing List for Ear, Nose & Throat Health Care Providers.  Be Notified of updates on  http://www.entusa.com  &
 http://www.waent.org
 

 

 
Number of Visits Since 12/22/2007
 

Hit Counter
Copyright 2008, 2009 
Kevin T Kavanagh,  All Rights Reserved

Page Last Updated 08/18/2017 
( Site Map )
 
Advertisements

Google Ad space finances and sponsors ENT USA Websites. ENT USA, Cumberland Otolaryngology or Dr Kevin Kavanagh, MD do not endorse, recommend, referrer to or are responsible for the Advertisements or for the
content or claims made
in the Advertisements.