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The epithelial 'turn-in' flap in nasal reconstruction
1Department of Otolaryngology-Head and Neck Surgery, Oregon Health Sciences University, Portland, USA.
Archives of Otolaryngology--Head & Neck Surgery
|October 1, 1995
Summary
The epithelial turn-in flap is a reliable method for reconstructing internal nasal lining in full-thickness defects, offering excellent viability and functional outcomes with minimal donor site issues.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Reconstructive Surgery
Background:
- Full-thickness nasal defects pose reconstructive challenges, requiring specialized techniques for internal lining restoration.
- Evaluating the efficacy of the epithelial turn-in flap is crucial for optimizing nasal reconstruction outcomes.
Observation:
- A retrospective review of 56 patients with full-thickness nasal defects was conducted.
- Eighteen patients underwent reconstruction using the epithelial turn-in flap, which was thinned to the subdermal plane.
Findings:
- The epithelial turn-in flap demonstrated high viability (89%) and excellent functional results (94% normal nasal function).
- This technique effectively reconstructs the internal nasal lining with minimal bulk and airway compromise.
Implications:
- The epithelial turn-in flap is a robust and dependable option for nasal lining reconstruction.
- Its advantages include high success rates and often no donor site morbidity, making it a preferred choice for select defects.