Aesthetic Outcomes of the Adipofascial Turnover Flap for Nasal Defects

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dc.contributor.authorCanzoneri, Christina N.en
dc.contributor.authorCapito, Anthony E.en
dc.date.accessioned2023-05-01T14:47:25Zen
dc.date.available2023-05-01T14:47:25Zen
dc.date.issued2023en
dc.date.updated2023-05-01T14:41:04Zen
dc.description.abstractBackground: The single-stage adipofascial turnover (AFT) flap with full-thickness skin grafting is a novel technique that has been demonstrated as a safe, reliable, and cost-effective alternative to forehead flaps for nasal tip reconstruction. The purpose of this study was to compare aesthetic outcomes of these reconstructive techniques. Methods: A retrospective review was conducted of patients who underwent either a forehead flap or an AFT flap for nasal reconstruction between January 2016 and January 2021. Aesthetic outcomes were compared via patient surveys and photographic analysis by plastic surgeons. All photographs were standardized and masked to conceal which reconstructive technique was utilized. Wilcoxon ranksum tests and t-tests were performed to determine significance. Results: Ten forehead flaps and 22 AFT flaps were performed between January 2016 and January 2021. Seven forehead flap patients and 18 AFT flap patients participated in the aesthetic outcome survey. Seven forehead flap postoperative photographs and 20 AFT flap postoperative photographs were available for analysis. Patients who underwent forehead flap reconstruction reported higher satisfaction for color match of the reconstruction to the surrounding nasal skin (P = 0.005). Otherwise, there was no statistical significance between the two patient groups. There was no statistical difference in the photographic analysis of the two groups. Conclusion: The single-stage AFT flap with full thickness skin grafting provides similar aesthetic outcomes compared with the two-stage forehead flap when reconstructing large defects of the nasal tip, which is supported by both patient-reported outcome measures and standardized photographic analysis by a panel of plastic surgeons.en
dc.description.versionPublished versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.doihttps://doi.org/10.1097/gox.0000000000004962en
dc.identifier.eissn2169-7574en
dc.identifier.issue4en
dc.identifier.orcidCapito, Anthony [0000-0002-3870-165X]en
dc.identifier.urihttp://hdl.handle.net/10919/114861en
dc.identifier.volume11en
dc.language.isoenen
dc.publisherWolters Kluwer Healthen
dc.rightsCreative Commons Attribution-NonCommercial-NoDerivatives 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/en
dc.titleAesthetic Outcomes of the Adipofascial Turnover Flap for Nasal Defectsen
dc.title.serialPlastic and Reconstructive Surgery - Global Openen
dc.typeArticle - Refereeden
dc.type.dcmitypeTexten
pubs.organisational-group/Virginia Techen
pubs.organisational-group/Virginia Tech/VT Carilion School of Medicineen
pubs.organisational-group/Virginia Tech/VT Carilion School of Medicine/Surgeryen
pubs.organisational-group/Virginia Tech/VT Carilion School of Medicine/Surgery/Plastic/Reconstructive Surgeryen

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