Reconstruction of the distal third of the nose: case series and literature review

• Published in: Revista Brasileira de cirurgia plástica Vol. 39; no. 1
• Main Authors: Figueiredo, Raissa Barakatt de, Mariano, Eduardo Machado, Cintra-Junior, Wilson, Maebayashi, Hélio Kiyoto, Ching, An Wan, Cezaretti, José Antônio
• Format: Journal Article
• Language: English
• Published: Sociedade Brasileira de Cirurgia Plástica 2024
• Subjects: nose; nose neoplasms; reconstructive surgical procedures; skin transplantation; surgical flaps
• ISSN: 2177-1235; 1983-5175; 2177-1235
• DOI: 10.5935/2177-1235.2024RBCP0779-EN

Introduction: The nose has great aesthetic and functional importance, with a high incidence of malignant lesions. There are several techniques for reconstructing the distal third of the nose, but there is no universal indication; will depend on the characteristics of the injury. Surgical options vary between skin grafts and local, regional, and microsurgical flaps. The objective is to present a series of cases of reconstruction of the distal third of the nose using different surgical techniques, discussing the peculiarities and the results obtained. Method: This is a retrospective study carried out at the Hospital do Servidor Público Estadual de São Paulo (HSPE), evaluating a series of eight patients diagnosed with non-melanoma skin cancer located in the distal third of the nose and who underwent reconstruction by the team of Plastic Surgery. Results: Satisfactory results were obtained for all patients undergoing distal nose reconstruction, using total skin graft techniques (n=1) and local flaps (n=7), such as the bilobed, nasolabial, and dorsal nose flap. nose, paramedian frontal, and nasolabial transposition. Conclusion: Reconstruction of defects in the distal third of the nose is challenging and involves great technical variability. A careful assessment of the patient and the injury must be carried out, risks and benefits assessed and the decision shared with the patient.