Frontiers | Total words: 2377, Figures: 2 Clinical Effect of Combining Auricular Cartilage, Full-Thickness Auricular Skin Graft, and Local Flap from the Right Nasal Ala in Complex Nasal Defect Reconstruction

IF 1.6 4区医学 Q2 SURGERY

Frontiers in Surgery Pub Date : 2024-09-03 DOI:10.3389/fsurg.2024.1440418

Jinfu Zuo, Rong Wang, Xiaoting Fan, Haixia Zhang, Zhaohui Zhai, Huachang Sun

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Abstract

The aim of this report was to evaluate the efficacy of nasal reconstruction using auricular cartilage combined with auricular full-thickness skin graft and a local flap from the right nasal ala for correcting complex nasal defects, and its impact on the patient's quality of life and psychological well-being. We present the case of a 50-year-old female with a severe nasal deformity due to a car accident, characterized by a missing right alar flap and an exposed right nostril. The patient underwent nasal reconstructive surgery using auricular cartilage combined with an auricular full-thickness skin graft and a local flap from the right nasal ala. Detailed records of the patient's postoperative recovery, surgical outcomes, and satisfaction were made at follow-up. The survival rate of the grafted skin and flaps on the nasal ala, septum, and dorsum was high. The reconstructed right nasal ala closely resembled the left, and the patient was very satisfied. In patients with complex nasal deformities, nasal reconstruction using ear cartilage combined with auricular full-thickness skin grafts and local flaps can achieve satisfactory aesthetic and functional outcomes. The high level of postoperative satisfaction suggests that this technique significantly improves patients’ quality of life and psychological well-being.

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前沿 | 总字数：23772377, 图：2 耳廓软骨、全厚耳廓皮肤移植和右鼻翼局部皮瓣联合用于复杂鼻缺损重建的临床效果

本报告旨在评估使用耳廓软骨结合耳廓全厚皮肤移植和右侧鼻翼局部皮瓣进行鼻部重建以矫正复杂鼻部缺损的疗效，及其对患者生活质量和心理健康的影响。我们介绍了一例因车祸导致严重鼻部畸形的 50 岁女性病例，其特点是右侧鼻翼瓣缺失和右侧鼻孔外露。患者接受了鼻部重建手术，使用了耳廓软骨、耳廓全层皮肤移植和右鼻翼局部皮瓣。随访时详细记录了患者的术后恢复情况、手术效果和满意度。移植的皮肤和鼻中隔、鼻背皮瓣的存活率很高。重建后的右鼻甲与左鼻甲非常相似，患者非常满意。对于鼻部畸形复杂的患者，使用耳软骨结合耳廓全厚皮肤移植和局部皮瓣进行鼻部重建，可以达到令人满意的美学和功能效果。术后的高满意度表明，这种技术能显著改善患者的生活质量和心理健康。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Frontiers in Surgery Medicine-Surgery

CiteScore

1.90

自引率

11.10%

发文量

1872

审稿时长

12 weeks

期刊介绍： Evidence of surgical interventions go back to prehistoric times. Since then, the field of surgery has developed into a complex array of specialties and procedures, particularly with the advent of microsurgery, lasers and minimally invasive techniques. The advanced skills now required from surgeons has led to ever increasing specialization, though these still share important fundamental principles. Frontiers in Surgery is the umbrella journal representing the publication interests of all surgical specialties. It is divided into several “Specialty Sections” listed below. All these sections have their own Specialty Chief Editor, Editorial Board and homepage, but all articles carry the citation Frontiers in Surgery. Frontiers in Surgery calls upon medical professionals and scientists from all surgical specialties to publish their experimental and clinical studies in this journal. By assembling all surgical specialties, which nonetheless retain their independence, under the common umbrella of Frontiers in Surgery, a powerful publication venue is created. Since there is often overlap and common ground between the different surgical specialties, assembly of all surgical disciplines into a single journal will foster a collaborative dialogue amongst the surgical community. This means that publications, which are also of interest to other surgical specialties, will reach a wider audience and have greater impact. The aim of this multidisciplinary journal is to create a discussion and knowledge platform of advances and research findings in surgical practice today to continuously improve clinical management of patients and foster innovation in this field.