Gudjonsdottir Linda Regina, Gunnarsson Gudjon Leifur
From the Faculty of Medicine and Health Sciences, Copenhagen University, Copenhagen, Denmark.
Department of Plastic and Reconstructive Surgery, Arendal Hospital Trust, Arendal, Norway.
Plast Reconstr Surg Glob Open. 2025 Jun 11;13(6):e6818. doi: 10.1097/GOX.0000000000006818. eCollection 2025 Jun.
A nasal tip defect can pose a reconstructive challenge, especially if the defect size overrides the availability of a local flap for coverage. We decreased the size of the nasal tip and lifted it to accommodate a local flap reconstruction of a smaller nose. We present a case series of 7 patients 65-95 years of age who underwent removal of a nasal tip lesion involving the whole aesthetic unit of the nasal tip, to demonstrate the technique on noses of different sizes and shapes, with nasal tip reduction and local flap coverage. The operation and recovery were uneventful, and reconstructive goals were achieved without any complications in a single stage with overall satisfactory results. The local flaps of the nose allow for wide exposure of the underlying nasal support. Reduction of the alar cartilage and slight lift of the nasal tip narrows the soft-tissue defect sufficiently and allows for a simple local flap reconstruction.
鼻尖缺损可能带来重建挑战，尤其是当缺损面积超过局部皮瓣覆盖范围时。我们缩小了鼻尖尺寸并将其提升，以适应较小鼻子的局部皮瓣重建。我们展示了一组7例年龄在65至95岁之间的病例系列，这些患者接受了鼻尖病变切除，病变累及鼻尖整个美学单元，目的是在不同大小和形状的鼻子上演示鼻尖缩小和局部皮瓣覆盖技术。手术和恢复过程顺利，在单一阶段实现了重建目标，未出现任何并发症，总体效果令人满意。鼻部的局部皮瓣可充分暴露下方的鼻支架。鼻翼软骨的缩小和鼻尖的轻微提升可充分缩小软组织缺损，从而实现简单的局部皮瓣重建。
