Abstract：
BACKGROUND: Effective nasal reconstruction requires skin and soft tissue cover, cartilage or bone structure, and mucosal lining. Ideal lining is thin, pliable and vascularised, making reconstruction challenging. This paper presents the first case series with long-term outcomes of pericranial flaps used as inner lining for nasal reconstruction.
METHODS: Patients undergoing paramedial forehead flaps from 2007 to 2019 were identified using second-stage nasal reconstruction billing codes. Patients with pericranial flaps for lining, for whom there were data on resulting outcomes and complications, were identified.
RESULTS: Sixty-six patients underwent second-stage nasal reconstruction. Eighteen patients had paramedian forehead and pericranial flaps for inner lining reconstruction. The flap lining had no immediate post-operative complications. Three patients suffered partial to major reconstructive failure post radiotherapy. Other complications included nasal stenosis and orocutaneous fistula.
CONCLUSIONS: Combined with paramedian forehead flaps, the pericranial flap is reliable as inner lining for nasal reconstruction. It is easily accessible and useful in resections with limited mucosal options.
METHODS: Patients undergoing paramedial forehead flaps from 2007 to 2019 were identified using second-stage nasal reconstruction billing codes. Patients with pericranial flaps for lining, for whom there were data on resulting outcomes and complications, were identified.
RESULTS: Sixty-six patients underwent second-stage nasal reconstruction. Eighteen patients had paramedian forehead and pericranial flaps for inner lining reconstruction. The flap lining had no immediate post-operative complications. Three patients suffered partial to major reconstructive failure post radiotherapy. Other complications included nasal stenosis and orocutaneous fistula.
CONCLUSIONS: Combined with paramedian forehead flaps, the pericranial flap is reliable as inner lining for nasal reconstruction. It is easily accessible and useful in resections with limited mucosal options.
摘要：
背景：有效的鼻腔重建需要皮肤和软组织覆盖，软骨或骨骼结构，和粘膜衬里。理想的衬里是薄的，柔韧和血管化，使重建具有挑战性。本文介绍了第一个病例系列，其长期结果是颅骨皮瓣用作鼻重建的内衬。
方法：使用第二阶段鼻重建计费代码确定了从2007年至2019年接受旁前额皮瓣的患者。使用颅周皮瓣作为衬里的患者，对他们有结果和并发症的数据，已确定。
结果：66例患者接受了二期鼻腔重建。18例患者使用额头和颅周皮瓣进行内衬重建。皮瓣衬里没有立即的术后并发症。三名患者在放疗后遭受部分重大重建失败。其他并发症包括鼻狭窄和皮肤瘘。
结论：结合前额旁正中皮瓣，颅周皮瓣作为鼻部重建的内衬是可靠的。它是容易获得和有用的切除与有限的粘膜选择。
方法：使用第二阶段鼻重建计费代码确定了从2007年至2019年接受旁前额皮瓣的患者。使用颅周皮瓣作为衬里的患者，对他们有结果和并发症的数据，已确定。
结果：66例患者接受了二期鼻腔重建。18例患者使用额头和颅周皮瓣进行内衬重建。皮瓣衬里没有立即的术后并发症。三名患者在放疗后遭受部分重大重建失败。其他并发症包括鼻狭窄和皮肤瘘。
结论：结合前额旁正中皮瓣，颅周皮瓣作为鼻部重建的内衬是可靠的。它是容易获得和有用的切除与有限的粘膜选择。
