Ivanov S.A.*, Shlyaga I.D.*, Rukhlya M.N.**
Our experience of allogene cartilage transplantation for the repair of the defects of the lower third of the nose
*Educational Establishment «Gomel State Medical University», Gomel, Republic of Belarus
**Establishment «Gomel Regional Clinical Oncology Dispensary», Gomel, Republic of Belarus
Vestnik VGMU. 2016;15(3):84-92.
Objectives. To summarize the experience of the repair of the defects of the lower third of the nose using allogene cartilage transplantation.
Material and methods. 17 reconstructions of the defects of the lower third of the nose were performed. Wound healing, complete epithelization of the scar and local complications rate were analyzed. The outcomes were evaluated by clinical methods, wound scar scale HWES, visual analog scale (VAS).
Results. Local postoperative complications were registered in three patients: two partial flap necroses and one allogene cartilage graft rejection. There were no septic wound complications. Wound epithelization was completed in 9-12 days except the cases of partial flap necrosis. Cosmetic outcomes of 13 (76,5%) postsurgical scars were reported to be optimal/suboptimal. Optimal/suboptimal VAS score was registered in 16 patients (94,1%).
Conclusions. Transplantation of the allogene cartilage for the reconstruction of the defects of the nose allows to achieve acceptable cosmetic results in the majority of patients.
Key words: repair of the defects of the nose, allogene cartilage, cartilaginous frame restoration.
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Information about authors:
Ivanov S.A. – Candidate of Medical Sciences, associate professor of the Chair of Oncology with the course Radiodiagnostics & Radiotherapy, Educational Establishment «Gomel State Medical University»;
Shlyaga I.D. – Candidate of Medical Sciences, associate professor, head of the Chair of Otorhinolaryngological Diseases, Educational Establishment «Gomel State Medical University»;
Rukhlya M.N. – head of Oncosurgery Department №5, Establishment «Gomel Regional Clinical Oncology Dispensary».