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Background <p>Nasal reconstruction requires restoration of both aesthetic contour and functional integrity. The Rintala flap and dorsal nasal flap are established local flap options for selected nasal defects; however, studies incorporating objective functional assessment after local flap reconstruction remain limited. This study aimed to perform a multidimensional evaluation of the surgical reliability, functional outcomes, and aesthetic effects of these techniques in oncologic nasal reconstruction.</p> Methods <p>This retrospective single-center study included 33 patients who underwent nasal reconstruction with either a Rintala flap or a dorsal nasal flap and were followed for approximately 6 months to assess early- to mid-term functional and aesthetic outcomes. Demographic and surgical data, complications, and revision requirements were recorded. Aesthetic outcomes were assessed using photographic angle and ratio measurements, FACE-Q, VAS, and POSAS scores. Functional evaluation included peak nasal inspiratory flow (PNIF), the Cottle test, and VAS respiratory scores.</p> Results <p>Of the 33 patients, 14 underwent reconstruction with a Rintala flap and 19 with a dorsal nasal flap. Both techniques demonstrated high flap viability and low complication rates. Functional assessment showed minimal change in PNIF (Δ − 3.85&#xa0;L/min), stable VAS respiratory scores (Δ 0.02), and no clinically meaningful deterioration in nasal airway function. Anthropometric assessment revealed directional changes in nasal contour and tip projection without major adverse aesthetic alteration during the early- to mid-term postoperative period. FACE-Q scores increased markedly (Δ + 20.66), and VAS aesthetic scores also improved (Δ + 2.40). POSAS scores indicated acceptable scar quality in both groups.</p> Conclusions <p>Because the nose is an organ of critical aesthetic and functional importance, successful reconstruction after oncologic resection should preserve both nasal function and contour rather than focusing on defect closure alone. Our findings, supported by objective functional measurements, anthropometric analyses, and patient-reported outcome measures, suggest that the Rintala flap and dorsal nasal flap may represent reliable local reconstructive options in appropriately selected oncologic nasal defects, with generally satisfactory early- to mid-term functional and aesthetic outcomes.</p> Level of Evidence <p>Level III, therapeutic study.</p>

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Multidimensional evaluation of nasal reconstruction using Rintala and dorsal nasal flaps: functional preservation and aesthetic outcomes

  • 期刊论文

  • 发表日期：

    2026年6月3日

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  • Ersin Kılıç,
  • Hasan Murat Ergani,
  • Ziya Öğüt,
  • Ridvan Çit,
  • Burak Yaşar,
  • Ramazan Erkin Ünlü

摘要

Background

Nasal reconstruction requires restoration of both aesthetic contour and functional integrity. The Rintala flap and dorsal nasal flap are established local flap options for selected nasal defects; however, studies incorporating objective functional assessment after local flap reconstruction remain limited. This study aimed to perform a multidimensional evaluation of the surgical reliability, functional outcomes, and aesthetic effects of these techniques in oncologic nasal reconstruction.

Methods

This retrospective single-center study included 33 patients who underwent nasal reconstruction with either a Rintala flap or a dorsal nasal flap and were followed for approximately 6 months to assess early- to mid-term functional and aesthetic outcomes. Demographic and surgical data, complications, and revision requirements were recorded. Aesthetic outcomes were assessed using photographic angle and ratio measurements, FACE-Q, VAS, and POSAS scores. Functional evaluation included peak nasal inspiratory flow (PNIF), the Cottle test, and VAS respiratory scores.

Results

Of the 33 patients, 14 underwent reconstruction with a Rintala flap and 19 with a dorsal nasal flap. Both techniques demonstrated high flap viability and low complication rates. Functional assessment showed minimal change in PNIF (Δ − 3.85 L/min), stable VAS respiratory scores (Δ 0.02), and no clinically meaningful deterioration in nasal airway function. Anthropometric assessment revealed directional changes in nasal contour and tip projection without major adverse aesthetic alteration during the early- to mid-term postoperative period. FACE-Q scores increased markedly (Δ + 20.66), and VAS aesthetic scores also improved (Δ + 2.40). POSAS scores indicated acceptable scar quality in both groups.

Conclusions

Because the nose is an organ of critical aesthetic and functional importance, successful reconstruction after oncologic resection should preserve both nasal function and contour rather than focusing on defect closure alone. Our findings, supported by objective functional measurements, anthropometric analyses, and patient-reported outcome measures, suggest that the Rintala flap and dorsal nasal flap may represent reliable local reconstructive options in appropriately selected oncologic nasal defects, with generally satisfactory early- to mid-term functional and aesthetic outcomes.

Level of Evidence

Level III, therapeutic study.