Reconstruction Flaps for Nasal Surgical Wounds RCT

A Randomized Controlled Trial Comparing the Functional and Aesthetic Outcomes of Lobed Transposition Flaps vs. Nasalis Sling Flaps in Nasal Tip Reconstruction

The purpose of this study is to determine whether there is a significant difference in aesthetic and functional outcomes between nasalis sling flaps and lobed flaps of nasal tip wounds requiring reconstruction.

This is a randomized clinical trial. Approximately 32 participants who are undergoing nasal tip wound reconstruction surgery will be invited to participate and randomized to receive either the nasalis sling repair or the lobed flap repair. Patients will be asked to complete a few questionnaires including a VAS scale, the Surgical Outcomes scale, the NOSE instrument, and the Nasal Appearance and Function Evaluation Questionnaire (NAFEQ).

This study was a pilot study designed to determine the feasibility of these procedures.

Inclusion Criteria:

• All patients >18 years
• Defect located on the nasal tip, infratip, or supratip of the nose
• Longest length of the wound should be no greater than 15mm
• Participants must have the ability to understand and the willingness to sign a written informed consent prior to registration on study

Exclusion Criteria:

• Active infection
• Age <18
• Investigator judgement that patient is not suitable for randomization (preexisting scars or architecture that would make one repair option less likely to be successful)
• Current cigarette smoking
• Patients that have a disease or are taking medication that would severely impair wound healing in the opinion of the investigator