Reconstrucción nasal con colgajos locales: Manejo según unidades estéticas

Introduction: The neoplastic lesions of the nose need a resolution with a satisfactory aesthetic result. The aim of the present study is to make a description of the place where the injuries were located and the types of flaps most used. Methods: The present descriptive study was performed in patients who underwent surgery in 2013 for secondary nasal reconstruction of tumor exeresis in Solca-Guayaquil. The location of the lesion and the technique are described. The sample was incidental. For the description, the nose was divided into 3 zones: proximal (Z1), middle (Z2) and distal (Z3). Injuries with> 1 zone were "complex defects". The Z1 and Z2 were divided into central and lateral subunits (SU). The Z3 was divided into SU: alar, domo-alar, dome, central, columelar and nasal base. Defects with> 1 SU were combined. Results: 96 cases, 60 women, entered the study. 14 defects (14.6%) in Z1, 16 defects (16.7%) in Z2, 50 cases (52%) in Z3 and 16 complex defects (16.7%). The frontal flap (FF) 21 cases (21.88%), the flap advance V-Y (AV-Y) 19 cases (19.79%) and the nasolabial flap (NLF) 15 cases (15.63%). In Z1, the SU-central glabellar flap (GF), AV-Y and Mitra flap (MF) were used; in the SU-lateral the GF and AV-Y were used more frequently. In the Z2, the central SU were used the MF and the direct closure (DC); in the SU-lateral DC, MF, AV-Y and NLF were used. In Z3, NLF, AV-Y and bi-lobed flaps were used. The frontal flap was used in complex and combined defects. Conclusion: The SU-Alar and the SU of the Domal Alar Groove of the Z3, were the most prevalent areas. The most used surgical techniques were, the frontal flap, the AV-Y and the NLF.