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Reconstruction of the Nasal Soft Triangle: A Systematic Review
Donal Murphy, Ailbhe Coyle1, Barry O'Sullivan
1From the Department of Plastic and Reconstructive Surgery, Beaumont Hospital.
Annals of Plastic Surgery
|December 19, 2025
Summary
For nasal soft triangle reconstruction, composite grafts suit small defects but have high complications. Vascularized interpolated flaps with cartilage support are recommended for larger defects, improving patient outcomes.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Otolaryngology
Background:
- The nasal soft triangle presents unique reconstructive challenges due to its complex anatomy and vital aesthetic/functional roles.
- Effective reconstruction strategies are crucial for optimal patient outcomes.
Purpose of the Study:
- To systematically review soft triangle reconstruction techniques.
- To guide surgeons in selecting the best approach based on defect characteristics.
Main Methods:
- Systematic review adhering to PRISMA guidelines.
- Comprehensive literature search across major medical databases (MEDLINE, EMBASE, CINAHL, PubMed, Cochrane).
Main Results:
- Analysis of 13 studies involving 900 patients with defects ranging from 0.6 to 5.5 cm.
- Composite grafts are effective for small defects but associated with high complication rates.
- Vascularized interpolated flaps with cartilage support are recommended for larger defects.
Conclusions:
- Tailored reconstructive approaches, anatomical knowledge, and patient-centered decisions are paramount.
- Future research should focus on comparative studies and standardized metrics for evidence-based guidelines.
