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Published on: June 20, 2018
Reconstruction of the nasal soft triangle subunit
Fadi C Constantine1, Michael R Lee, Sammy Sinno
1Dallas, Texas; and Maywood, Ill. From the Department of Plastic Surgery, University of Texas Southwestern Medical Center, and Loyola University Stritch School of Medicine.
Plastic and Reconstructive Surgery
|February 7, 2013
Summary
Reconstructing the nasal soft triangle is complex. This study reviews 14 cases, finding a proposed algorithm yields consistent aesthetic and functional success in soft triangle reconstruction.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Facial Reconstruction
Background:
- The nasal soft triangle is a challenging subunit for reconstruction.
- Improper reconstruction can lead to functional and aesthetic deficits, including asymmetry and abnormal shadowing.
- Proximity to critical structures like the nasal tip and ala complicates repair.
Purpose of the Study:
- To evaluate the efficacy of a proposed algorithm for nasal soft triangle reconstruction.
- To assess the aesthetic and functional outcomes of this reconstruction technique.
Main Methods:
- Retrospective review of 14 patients undergoing soft triangle reconstruction (1995-2010).
- Classification of defects into Type I (skin only), Type II (skin and soft tissue), and Type III (transmural).
- Surgical outcomes graded I-IV based on defect complexity and adjacent structure preservation.
Main Results:
- The majority of defects were Type II (64%).
- Most patients (93%) achieved a grade of 2.0 or better, indicating successful reconstruction.
- Revision or resurfacing was required in a minority of cases (21% and 14%, respectively).
Conclusions:
- The proposed algorithm offers a straightforward approach to soft triangle reconstruction.
- This method consistently achieves successful aesthetic and functional outcomes.
- Excellent results were obtained without compromising adjacent structures or causing complications.
