NASAL RECONSTRUCTION: EXPERIENCE FROM A TERTIARY HOSPITAL IN NORTH-WESTERN NIGERIA.
OKEKE UA1*, FOMETE B1, AGBARA R2, OBIADAZIE AC1
1Department of Oral and Maxillofacial Surgery, Ahmadu Bello University Teaching Hospital, Shika –Zaria, Kaduna State, Nigeria.
2D2Oral and Maxillofacial Surgery Unit, Dental and Maxillofacial Surgery Department, Jos University Teaching Hospital, Jos, Plateau State, Nigeria.
* ?Correspondence:Dr. U.A. Okeke Email: uchino4real@yahoo.com
Grant/support: None
Conflict of interest: None
| Click for full text |
ABSTRACT
Background: Nasal reconstruction is a challenging procedure due to the unique anatomy of the nose. Size, shape and location of defects are important factors to be considered for a successful outcome.
Aim: To determine the causes and pattern of nasal defects, common methods of nasal reconstruction and their outcomes in our centre. Methodology: This was a ten year retrospective analysis of all patients that had reconstruction of nasal defects in the Department of Oral and Maxillofacial Surgery of Ahmadu Bello University Teaching Hospital. Patients biodata, etiological factor, size, location of nasal deformity, type of reconstruction and treatment outcomes were analysed.
Results: Ten patients were managed over the 10-year period. The average age was 36.7 (SD10.2) years. Males accounted for 80% of the patients. Road traffic accident was the most common etiological factor (60%). The dorsum/tip alone or in combination with other parts of the nose were the most common parts affected (60%). The 2-stage median forehead flap was the most common technique (70%) used for nasal reconstruction. Nine (90%) of the patients had satisfactory outcomes while one (10%) had donor site hypertrophic scar. All our patients had good postoperative functional and aesthetic results.
Conclusion: Nasal defects were commonly due to trauma. Early presentation is important for a better outcome. The forehead and nasolabial flaps are some of the best methods for repair of extensive nasal defects. Although there were some imperfections, most of our patients had satisfactory results with great improvement in aesthetics and function.
Key words:Nasal defect, Nasal reconstruction, Forehead flap, Nasolabial flap.
| Click for full text |