Marcos Jorge L, Marcos Mirek F, Marcos Henry A
From the Private Practice, Vitalis Clinic, Lima, Peru.
Department of Plastic, Reconstructive, and Burns Surgery, "Guillermo Almenara Irigoyen" Hospital, Lima, Peru.
Plast Reconstr Surg Glob Open. 2025 Aug 13;13(8):e7031. doi: 10.1097/GOX.0000000000007031. eCollection 2025 Aug.
Complications in the nasal vestibule are infrequent and require complex surgical management owing to the unique anatomical characteristics of the area. The poorly vascularized receptor bed and secondary contractions limit the usefulness of skin grafts. The visible scar in the donor area and volume that alters respiratory function restrict the use of skin flaps. We propose an upper labial vestibular myomucosal flap, which we interpolate through a sublabial-nasal tunnel, as a viable alternative for correcting various lesions in the nasal vestibule.
We reviewed the medical records and photographic archives of cases involving reconstruction of the nasal vestibule with the proposed flap, performed in a private clinic and the National Hospital "Guillermo Almenara Irigoyen." Both are in Lima, Peru. The study period was from March 2016 to July 2022.
We created 20 flaps (12 unilateral and 4 bilateral) in 16 patients 26-56 years of age. Three patients had acute postrhinoplasty defects, and 13 had chronic lesions (9 postrhinoplasty and 4 nasal reconstructions).
The proposed flap offers the advantage of providing thin tissues with characteristics similar to those of the defect, and it leaves no visible scar in the donor area.
鼻前庭并发症并不常见，由于该区域独特的解剖特征，需要复杂的手术管理。血运较差的受区床和继发性挛缩限制了皮肤移植的效用。供区明显的瘢痕以及改变呼吸功能的体积限制了皮瓣的应用。我们提出一种通过唇下-鼻隧道插入的上唇前庭肌黏膜瓣，作为矫正鼻前庭各种病变的可行替代方案。
我们回顾了在一家私立诊所和“吉列尔莫·阿尔梅纳拉·伊里戈延国立医院”进行的、使用该皮瓣重建鼻前庭的病例的病历和照片档案。这两家医院均位于秘鲁利马。研究时间段为2016年3月至2022年7月。
我们为16例年龄在26至56岁之间的患者制作了20个皮瓣（12个单侧和4个双侧）。3例患者有隆鼻术后急性缺损，13例有慢性病变（9例隆鼻术后和4例鼻重建）。
该皮瓣的优点是能提供与缺损组织特征相似的薄组织，且供区无可见瘢痕。
