Nasal meatus plasty: a contribution to plastic reconstruction of the nasal valve during midfacial degloving

Midfacial degloving is a proven method for easily accessing the midface, the nasal pyramid, the maxillary and ethmoidal sinuses, the orbits, as well as the anterior skull base. Indications for this method of access mainly include tumour resections in the area of the midface, the septum, the maxillar...
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Gespeichert in:

Autor*in:	Lorenz, Kai J. [verfasserIn] Maier, Heinz [verfasserIn] Wilde, Frank [verfasserIn]

Format:	E-Artikel
Sprache:	Deutsch ; Englisch

Erschienen:	2014

Schlagwörter:	midfacial degloving vestibular stenosis paranasal sinus tumours

Übergeordnetes Werk:	In: GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW - German Medical Science GMS Publishing House, 2015, 3, p Doc06(2014)
Übergeordnetes Werk:	volume:3, p Doc06 ; year:2014

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.3205/iprs000047

Katalog-ID:	DOAJ03617730X

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language	German English
source	In GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW 3, p Doc06(2014) volume:3, p Doc06 year:2014
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topic_facet	midfacial degloving vestibular stenosis paranasal sinus tumours Surgery
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authorswithroles_txt_mv	Lorenz, Kai J. @@aut@@ Maier, Heinz @@aut@@ Wilde, Frank @@aut@@
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author	Lorenz, Kai J.
spellingShingle	Lorenz, Kai J. misc RD1-811 misc midfacial degloving misc vestibular stenosis misc paranasal sinus tumours misc Surgery Nasal meatus plasty: a contribution to plastic reconstruction of the nasal valve during midfacial degloving
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topic_title	RD1-811 Nasal meatus plasty: a contribution to plastic reconstruction of the nasal valve during midfacial degloving midfacial degloving vestibular stenosis paranasal sinus tumours
topic	misc RD1-811 misc midfacial degloving misc vestibular stenosis misc paranasal sinus tumours misc Surgery
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title	Nasal meatus plasty: a contribution to plastic reconstruction of the nasal valve during midfacial degloving
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title_full	Nasal meatus plasty: a contribution to plastic reconstruction of the nasal valve during midfacial degloving
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title_sort	nasal meatus plasty: a contribution to plastic reconstruction of the nasal valve during midfacial degloving
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title_auth	Nasal meatus plasty: a contribution to plastic reconstruction of the nasal valve during midfacial degloving
abstract	Midfacial degloving is a proven method for easily accessing the midface, the nasal pyramid, the maxillary and ethmoidal sinuses, the orbits, as well as the anterior skull base. Indications for this method of access mainly include tumour resections in the area of the midface, the septum, the maxillary sinus, the paranasal to the sphenoidal sinus as well as the clivus. In addition, this method of access allows for the exposure of the bony structures of the midface in the event of extensive fractures.In general, this method of access combines an incision in the oral vestibule and circular incisions in the nasal vestibule area in order to release the nasal pyramid.After removing the facial wall of the maxillary sinus, extensive exposure of the surgical site is possible.One disadvantage of this method of access is the difficult reconstruction of the nasal valve area, which often leads to cicatricial stenoses and difficulties with breathing through the nose. Furthermore, wound healing problems and osteoradionecrosis in the area of the lateral margin of the anterior nasal aperture after replantation of the facial wall of the maxillary sinus have been described, because in this area sufficient soft tissue coverage cannot be ensured when a conventional technique is used.We describe a soft tissue flap pedicled in the cranial and caudal directions in the nasal valve area which makes both the reconstruction of the nasal vestibule and sufficient soft tissue coverage of the anterior nasal aperture possible.
abstractGer	Midfacial degloving is a proven method for easily accessing the midface, the nasal pyramid, the maxillary and ethmoidal sinuses, the orbits, as well as the anterior skull base. Indications for this method of access mainly include tumour resections in the area of the midface, the septum, the maxillary sinus, the paranasal to the sphenoidal sinus as well as the clivus. In addition, this method of access allows for the exposure of the bony structures of the midface in the event of extensive fractures.In general, this method of access combines an incision in the oral vestibule and circular incisions in the nasal vestibule area in order to release the nasal pyramid.After removing the facial wall of the maxillary sinus, extensive exposure of the surgical site is possible.One disadvantage of this method of access is the difficult reconstruction of the nasal valve area, which often leads to cicatricial stenoses and difficulties with breathing through the nose. Furthermore, wound healing problems and osteoradionecrosis in the area of the lateral margin of the anterior nasal aperture after replantation of the facial wall of the maxillary sinus have been described, because in this area sufficient soft tissue coverage cannot be ensured when a conventional technique is used.We describe a soft tissue flap pedicled in the cranial and caudal directions in the nasal valve area which makes both the reconstruction of the nasal vestibule and sufficient soft tissue coverage of the anterior nasal aperture possible.
abstract_unstemmed	Midfacial degloving is a proven method for easily accessing the midface, the nasal pyramid, the maxillary and ethmoidal sinuses, the orbits, as well as the anterior skull base. Indications for this method of access mainly include tumour resections in the area of the midface, the septum, the maxillary sinus, the paranasal to the sphenoidal sinus as well as the clivus. In addition, this method of access allows for the exposure of the bony structures of the midface in the event of extensive fractures.In general, this method of access combines an incision in the oral vestibule and circular incisions in the nasal vestibule area in order to release the nasal pyramid.After removing the facial wall of the maxillary sinus, extensive exposure of the surgical site is possible.One disadvantage of this method of access is the difficult reconstruction of the nasal valve area, which often leads to cicatricial stenoses and difficulties with breathing through the nose. Furthermore, wound healing problems and osteoradionecrosis in the area of the lateral margin of the anterior nasal aperture after replantation of the facial wall of the maxillary sinus have been described, because in this area sufficient soft tissue coverage cannot be ensured when a conventional technique is used.We describe a soft tissue flap pedicled in the cranial and caudal directions in the nasal valve area which makes both the reconstruction of the nasal vestibule and sufficient soft tissue coverage of the anterior nasal aperture possible.
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title_short	Nasal meatus plasty: a contribution to plastic reconstruction of the nasal valve during midfacial degloving
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up_date	2024-07-03T19:07:21.254Z
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