Nasal reconstruction using the inferior turbinate mucosal flap

Area of Science:

• Otolaryngology
• Plastic Surgery
• Reconstructive Surgery

Background:

• Nasal reconstruction is challenging with significant mucosal loss.
• Traditional flaps may be insufficient for extensive defects.
• The inferior turbinate mucosal flap presents a viable alternative.

Purpose of the Study:

• To evaluate the efficacy of the inferior turbinate mucosal flap for nasal reconstruction.
• To assess its reliability in cases with insufficient mucosal tissue.
• To document surgical technique and outcomes.

Main Methods:

• Retrospective review of 16 patients undergoing nasal reconstruction or septal perforation repair.
• Application of the inferior turbinate mucosal flap, involving anterior rotation, bivalving, and conchal bone removal.
• Anatomical dissection of 10 flaps in cadaver specimens to determine dimensions and vascularity.

Main Results:

• Successful reconstruction in 16 patients with large nasal defects or septal perforations.
• Eight septal perforations treated, with 6 closed completely and 3 reduced by 50%.
• All 11 turbinate flaps survived, with only minor superficial epidermolysis in two cases.

Conclusions:

• The inferior turbinate mucosal flap is a reliable and effective option for nasal reconstruction, especially when other methods are not feasible.
• The flap provides ample, well-vascularized mucosa suitable for various nasal defects.
• The surgical technique allows for reconstruction of complex nasal structures and defects.