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Reconstruction of Palatal Defects Using a Composite Chondromucosal Nasoseptal Flap and Comparative Analysis
Antonio A Bon-Nieves1, Lazaro R Peraza2, Zinnarky K Ortiz-Correa1
1Mayo Clinic Graduate School of Biomedical Sciences, Rochester, Minnesota, U.S.A.
The Laryngoscope
|July 4, 2024
Summary
Composite chondromucosal nasal septal flaps (ccNSF) successfully reconstructed palatal defects in a clinical case. This method offers a viable alternative to free flap transfer, avoiding associated morbidities.
Area of Science:
- Otolaryngology
- Head and Neck Surgery
- Plastic Surgery
Background:
- Composite chondromucosal nasal septal flaps (ccNSF) show promise in cadaveric studies for anterior skull base and orbital reconstruction.
- Clinical applications of ccNSF, particularly for palatal defects, remain largely unexplored.
Purpose of the Study:
- To introduce and evaluate a novel technique for palatal defect reconstruction using ccNSF.
- To compare the anatomical dimensions of the nasal septal flap (NSF) with the palate.
Main Methods:
- Retrospective analysis of 108 CT scans to quantify septal cartilage and palate areas.
- Inclusion of a clinical case demonstrating ccNSF for palatal defect repair.
- Comparison of mean NSF area with mean palate area.
Main Results:
- The ccNSF effectively reconstructed a palatal defect with no significant complications at 9-month follow-up.
- Mean quadrangular cartilage area was 5.43 cm² (±1.68 cm²).
- Mean palate area was 7.87 cm² (±1.43 cm²).
Conclusions:
- ccNSF is a successful and safe method for palatal defect reconstruction.
- This technique provides a valuable alternative to free flap reconstruction, minimizing associated risks and morbidities.
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