Case Report


DOI :10.26650/Tr-ENT.2021.18480   IUP :10.26650/Tr-ENT.2021.18480    Full Text (PDF)

Nasal Reconstruction Using Tissue Expander and Modified Paramedian Forehead Flap Supported by Cartilage Graft

Pauline YapNurul Syazana Mohamed ShahArman Zaharil Mat SaadWan Azman Wan SulaimanSiti Fatimah Noor Mat Johar

This is an interesting case of a male patient with traumatic nasal injury with partial nasal amputation who was referred to our centre 3 months after the initial trauma. The wound was complicated with necrosis, the amputated nose had fallen off and a scar had formed at the wound bed. The nasal defect was greater than 2.5cm in length. More than 50% of the nose had fallen off including the bilateral alar lobule, the tip and the dorsal part of the nose. We utilized a tissue expander to create more tissue on the forehead in view of the patient’s short forehead, for donor site closure and to lengthen our flap. We performed a modified paramedian forehead flap with a widened distal portion of flap, in a two-staged nasal reconstruction surgery supported by L-strut cartilage graft harvested from the 7th rib. In this report we provide an illustrative description of the procedure, its cosmetic and functional outcome and we also share the challenges we faced.


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References

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Citations

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APA

Yap, P., Shah, N.S., Saad, A.Z., Sulaiman, W.A., & Johar, S.F. (2021). Nasal Reconstruction Using Tissue Expander and Modified Paramedian Forehead Flap Supported by Cartilage Graft. The Turkish Journal of Ear Nose and Throat, 31(2), 51-58. https://doi.org/10.26650/Tr-ENT.2021.18480


AMA

Yap P, Shah N S, Saad A Z, Sulaiman W A, Johar S F. Nasal Reconstruction Using Tissue Expander and Modified Paramedian Forehead Flap Supported by Cartilage Graft. The Turkish Journal of Ear Nose and Throat. 2021;31(2):51-58. https://doi.org/10.26650/Tr-ENT.2021.18480


ABNT

Yap, P.; Shah, N.S.; Saad, A.Z.; Sulaiman, W.A.; Johar, S.F. Nasal Reconstruction Using Tissue Expander and Modified Paramedian Forehead Flap Supported by Cartilage Graft. The Turkish Journal of Ear Nose and Throat, [Publisher Location], v. 31, n. 2, p. 51-58, 2021.


Chicago: Author-Date Style

Yap, Pauline, and Nurul Syazana Mohamed Shah and Arman Zaharil Mat Saad and Wan Azman Wan Sulaiman and Siti Fatimah Noor Mat Johar. 2021. “Nasal Reconstruction Using Tissue Expander and Modified Paramedian Forehead Flap Supported by Cartilage Graft.” The Turkish Journal of Ear Nose and Throat 31, no. 2: 51-58. https://doi.org/10.26650/Tr-ENT.2021.18480


Chicago: Humanities Style

Yap, Pauline, and Nurul Syazana Mohamed Shah and Arman Zaharil Mat Saad and Wan Azman Wan Sulaiman and Siti Fatimah Noor Mat Johar. Nasal Reconstruction Using Tissue Expander and Modified Paramedian Forehead Flap Supported by Cartilage Graft.” The Turkish Journal of Ear Nose and Throat 31, no. 2 (Sep. 2021): 51-58. https://doi.org/10.26650/Tr-ENT.2021.18480


Harvard: Australian Style

Yap, P & Shah, NS & Saad, AZ & Sulaiman, WA & Johar, SF 2021, 'Nasal Reconstruction Using Tissue Expander and Modified Paramedian Forehead Flap Supported by Cartilage Graft', The Turkish Journal of Ear Nose and Throat, vol. 31, no. 2, pp. 51-58, viewed 24 Sep. 2021, https://doi.org/10.26650/Tr-ENT.2021.18480


Harvard: Author-Date Style

Yap, P. and Shah, N.S. and Saad, A.Z. and Sulaiman, W.A. and Johar, S.F. (2021) ‘Nasal Reconstruction Using Tissue Expander and Modified Paramedian Forehead Flap Supported by Cartilage Graft’, The Turkish Journal of Ear Nose and Throat, 31(2), pp. 51-58. https://doi.org/10.26650/Tr-ENT.2021.18480 (24 Sep. 2021).


MLA

Yap, Pauline, and Nurul Syazana Mohamed Shah and Arman Zaharil Mat Saad and Wan Azman Wan Sulaiman and Siti Fatimah Noor Mat Johar. Nasal Reconstruction Using Tissue Expander and Modified Paramedian Forehead Flap Supported by Cartilage Graft.” The Turkish Journal of Ear Nose and Throat, vol. 31, no. 2, 2021, pp. 51-58. [Database Container], https://doi.org/10.26650/Tr-ENT.2021.18480


Vancouver

Yap P, Shah NS, Saad AZ, Sulaiman WA, Johar SF. Nasal Reconstruction Using Tissue Expander and Modified Paramedian Forehead Flap Supported by Cartilage Graft. The Turkish Journal of Ear Nose and Throat [Internet]. 24 Sep. 2021 [cited 24 Sep. 2021];31(2):51-58. Available from: https://doi.org/10.26650/Tr-ENT.2021.18480 doi: 10.26650/Tr-ENT.2021.18480


ISNAD

Yap, Pauline - Shah, NurulSyazana Mohamed - Saad, ArmanZaharil Mat - Sulaiman, WanAzman Wan - Johar, SitiFatimah Noor Mat. Nasal Reconstruction Using Tissue Expander and Modified Paramedian Forehead Flap Supported by Cartilage Graft”. The Turkish Journal of Ear Nose and Throat 31/2 (Sep. 2021): 51-58. https://doi.org/10.26650/Tr-ENT.2021.18480



TIMELINE


Submitted16.05.2021
Accepted05.06.2021
Published Online03.09.2021

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