A+ A A-

Download article


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.


1. Butler CE, Fine NA, editors. Principles of Cancer Reconstructive Surgery. Berlin: Springer; 2008. Chapter 10, Beahm EK, Walton RL, Burget GC. Concepts in Nasal Reconstructions; р. 161-89.
2. Naub PJ, Koch RM. Plastic Surgery: Clinical Problem Solving. New York: McGrow-Hill Companies; 2009. Chapter 2, Mackay DR. Nasal Reconstruction; р. 57-62.
3. Vasilyev SA. Plasticheskaia khirurgiia v onkologii [Plastic surgery in an oncology]. Chelyabinsk, RF: Izd-vo ChGMA; 2002. 262 р.
4. Shaye DA, Sykes JM, Kim JE. Advances in nasal reconstruction. Curr Opin Otolaryngol Head Neck Surg. 2011 Aug;19(4):251-6.
5. Thornton JF, Griffin JR, Constantine FC. Nasal reconstruction: an overview and nuances. Semin Plast Surg. 2008 Nov;22(4):257-68.
6. Ivanov SA, Trizna NM, Shlyaga ID, Platoshkina LA. Rekonstruktsiia skvoznykh defektov naruzhnogo nosa [Reconstruction of through defects of an external nose]. Otorinolaringologiia Vostoch Evropa. 2014;(2):99-102.
7. Cerci FB, Nguyen ТН. Nasolabial interpolation flap for alar reconstruction after Mohs micrographic surgery. Surg Cosmet Dermatol. 2014;6(2):113-20.
8. Rieger RA. A local flap for repair of the nasal tip. Plast Reconstr Surg. 1967 Aug;40(2):147-9.
9. Kline RM. Aesthetic reconstruction of the nose following skin cancer. Clin Plast Surg. 2004 Jan;31(1):93-111.
10. Quinn JV, Wells GA. An assessment of clinical wound evaluation scales. Acad Emerg Med. 1998 Jun;5(6):583-6.
11. Hollander JE, Singer AJ, Valentine S, Henry MC. Wound registry: development and validation. Ann Emerg Med. 1995 May;25(5):675-85.

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».

Correspondence address: Republic of Belarus, 246012, Gomel, 125 Rechitsky ave., 25. E-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра. – Ivanov S.A.

Поиск по сайту