RECONSTRUCCION DE PUNTA NASAL ENTRE COLGAJOS MEDIO FRONTAL Y NASOGENIANO EN EL HOSPITAL SOLCA GUAYAQUIL, DIC-2012 A MAR-2015

Abstract

At the level of the nasal tip is not only important the complete exeresis of the injury but subsequent to the implementation of reconstruction coverage, in this study, two took the naso labial flaps and front means that we provide a fabric very similar in texture , color and thickness. Objetives: Evaluate the aesthetic result, functionality and complications in the reconstruction of nasal tip between naso labial flaps and front in facial skin oncology. Methodology: A descriptive, longitudinal, observational, non-probability, study of 67 patients nasal tip reconstruction were performed with naso labial flaps or median forehead flap in Guayaquil SOLCA hospital was performed. Results: The median forehead flap was less hassle, better functionality, and better cosmetic result, naso labial flap for minor functionality were higher complications and aesthetic result was only good for individuals in the study. Conclusions: despite having more surgical time, have more intraoperative bleeding the median forehead flap had a very good reconstruction of nasal tip aesthetic result, and the nasolabial was just good. Another plus was that the average front flap had fewer complications. Recommendations: Patient assessment will determine the type of flap used, according to the surgeon's experience and condition of each patient will be important to give good coverage with a good thinning is nasolabial regardless flap or median forehead flap