+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Microsurgical reconstruction of the isolated columellar defect with a prelaminated radial forearm free flap. A case report and a review of the literature



Microsurgical reconstruction of the isolated columellar defect with a prelaminated radial forearm free flap. A case report and a review of the literature



Microsurgery 2019



The columella is one of the smallest subunits of the nose, but the loss of this structure has important aesthetic and structural implications. Few papers in literature present microsurgical techniques for the reconstruction of an isolated columellar defect. This report describes the use of a prelaminated radial forearm free flap (RFFF) for the reconstruction of an isolated columellar defect and reviews the current literature. A 45-year-old woman presented to our Unit with a history of palate squamous cell carcinoma and severe nasal deformity with an almost complete loss of the columella. A prelaminated RFFF with the fifth rib was used for a two-staged reconstruction of the isolated columellar defect. The radial pedicle was anastomosed to the facial vessels and the postoperative course was uneventful. Complete survival of the flap was achieved and, 10 months postoperatively, the patient had bilateral nasal patency, with an increased tip projection and a good aesthetic result. A prelaminated RFFF can be considered a valuable reconstructive option in cases of a large composite defect of the columella and limited availability of adjacent tissues.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 066805315

Download citation: RISBibTeXText

PMID: 31112632

DOI: 10.1002/micr.30472


Related references

Complex autologous reconstruction of adult auricular defect with prelaminated free radial forearm flap: An example of a tissue engineered flap. International Journal of Surgery 10(8): S18-S19, 2012

Reconstruction of adult auricular defect with thin titanium mesh and prelaminated free radial forearm flap. Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery 43(1): 54-57, 2009

Reconstruction of a subtotal upper lip defect with a facial artery musculomucosal flap, kite flap, and radial forearm free flap: a case report. World Journal of Surgical Oncology 16(1): 194, 2018

Functional reconstruction of subtotal glossectomy defects with radial forearm free flap: case report and review of literature. Folia Medica 54(2): 60-65, 2012

Microsurgical Urethroplasty for Complex Bulbar Urethral Strictures Using the Radial Forearm Free Flap Prelaminated with Buccal Mucosa. Journal of Reconstructive Microsurgery 32(5): 378-385, 2017

Prelaminated free radial forearm flap for a total nasal reconstruction. Journal of Plastic, Reconstructive and Aesthetic Surgery 61(8): 953-957, 2008

Reconstruction of the defect of hypopharyngeal carcinoma with radial forearm free flap without cephalic drainage: one case report. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 53(9): 694-696, 2018

Management of radial artery pseudoaneurysm in radial forearm free flap: case report and review of the literature. Radiology Case Reports 14(1): 10-13, 2018

Free radial forearm flap transfer for the reconstruction of the Achilles tendon and soft tissue defect: a case report. Ulusal Travma Ve Acil Cerrahi Dergisi 11(3): 258-262, 2005

The radial free forearm flap--prelaminated versus non-prelaminated: a comparison of two methods. International Journal of Oral and Maxillofacial Surgery 32(2): 159-166, 2003

Total nasal reconstruction using a prelaminated free radial forearm flap and porous polyethylene implants. Journal of Reconstructive Microsurgery 24(6): 449-452, 2008

Contact high-tension electrical burn to the penis: Reconstruction of the defect with free radial forearm fasciocutaneous flap and silicon rod, a case report. Burns 32(6): 788-791, 2006

Dermatofibrosarcoma protuberans of the foot surgical treatment with defect covering by radial forearm flap Report of a case with review of the literature. European Journal of Plastic Surgery 14(2): 99-101, 1991

Reconstruction of a near total ear amputation with a neurosensorial radial forearm free flap prelaminated with porous polyethylene implant and delay procedure. Microsurgery 38(2): 203-208, 2017

The use of a prefabricated radial forearm free flap for closure of a large tracheocutaneous fistula: a case report and review of the literature. Journal of Medical Case Reports 9: 251, 2016