Aesthetic and functional outcomes in full thickness nasal alar reconstruction: Insights from patients on conchal cartilage and nasolabial-folded-flap

Abstract

Introduction: Nasal alar defects pose significant challenges due to the nose's central role in facial aesthetics and function. Various causes, including skin cancer resection, necessitate effective reconstruction techniques. Despite several available methods, identifying an ideal approach remains elusive.

Methods: This study introduces a single-stage reconstruction technique employing the nasolabial-folded-flap (NFL) with conchal cartilage support. A structured patient questionnaire evaluated functional and aesthetic outcomes, pain, healing and satisfaction. The survey involved six patients who underwent nasal reconstruction using this approach in 12 months.

Results: Patients expressed high satisfaction with functional and aesthetic outcomes. Functional aspects received very satisfactory ratings (mean 1.7), with aesthetically appealing results (mean 2). Reconstructed noses harmonized well with patients' faces (mean 2), with a moderate impact on daily activities (mean 2.7). Mild pain was occasionally reported (median 2.2) and healing was perceived as very successful (median 1.5). Patients were highly satisfied with care and support (median 1) and felt adequately informed (median 1.5). They strongly recommended this reconstruction technique to others (median 1).

Discussion: The NFL with conchal cartilage support proves versatile and cosmetically pleasing in single-stage reconstruction for full-thickness nasal alar defects. Patients demonstrated a strong willingness to recommend this approach to individuals with similar defects, showcasing its potential advantages. Despite limitations, our findings underscore the prospects of this technique in nasal reconstruction.

Keywords

alar reconstruction / nasolabial flap / outcome / patient's perspective / single-stage

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