The Use of the V-Y Cartilage Columellar Strut Graft and Precise Skin Contouring in Nasal Reconstructive Surgery in RSPAL Dr Ramelan Hospital: A Case Report

Zaki Ramadhani Rahmawan¹, Rionaldo Dhiparedja², and Bambang Wicaksono²

Abstract

Introduction: The nose is one of the most prominent facial features. Defects resulting from trauma or tumors can cause problems in the normal function and shape of the nose. Surgical techniques for reconstruction vary widely but all has the same aim to restore function and shape. The authors created a technique using V-Y cartilage columellar strut graft and precise skin contouring of the paramedian forehead flap to restore the shape and function. Case Presentation: A 63-year-old female patient came to oncology clinic with a lump the size of a table-tennis ball on the nasal tip in the last 6 months. Pathologist confirmed basal cell carcinoma. Oncologist consulted to plastic surgery division for a joint operation to close the defect. On wide excision, the structures lost include alar rim, nasal tip, columella, half of dorsum nasal, most of the lower nasal, upper nasal, and partial septum cartilage. Paramedian forehead flap with flap thinning and precise contouring was elevated to provide the skin coverage and the cartilage structure lost was replaced with V-Y cartilage columellar strut graft harvested from ear. Conclusion: V-Y cartilage columellar strut graft provides strong support and shape. Precise flap contouring enhances aesthetic aspects and satisfies the patient. Further longer-term follow-up studies and more samples are needed to validate its effectiveness and refinement.

Keywords

basal cell carcinoma; nasal defect; nasal reconstruction, paramedian forehead flap; V-Y cartilage columellar strut graft

Cite This Article

Rahmawan, Z. R., Dhiparedja, R., Wicaksono, B. (2024). The Use of the V-Y Cartilage Columellar Strut Graft and Precise Skin Contouring in Nasal Reconstructive Surgery in RSPAL Dr Ramelan Hospital: A Case Report. International Journal of Scientific Advances (IJSCIA), Volume 5| Issue 3: May-Jun 2024, Pages 504-507, URL: https://www.ijscia.com/wp-content/uploads/2024/05/Volume5-Issue3-May-Jun-No.611-504-507.pdf

Volume 5 | Issue 3: May-Jun 2024