A dorsal nasal advancement flap for off-midline defects

Lambert, Rebecca W; Dzubow, Leonard M.

doi:10.1016/j.jaad.2003.05.001

Cited by 35 publications

(28 citation statements)

References 19 publications

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“…Nasal tip lesions are subject to a lot of controversies over possible reconstructions [1,2,3,4]. A nasal tip defect of small size can easily be reconstructed by a transposition flap, an island pedicle flap or a dorsal nasal advancement flap but with the inconvenience that the incision lines are not following anatomical subunits [1, 2].…”

Section: Discussionmentioning

confidence: 99%

“…In these cases the nonanatomical course of the incision lines is as important as mentioned before. When the lesion is slightly lateralized, the choice becomes difficult as the options are many but none – sail flap, bilobed flap, transposition flap and the lateral island pedicle flap – is really satisfying when the lesion is situated at the lateral part of the tip of the nose because again the incision lines are not following anatomical subunits and are therefore visible or because there is unilateral distortion due to lateral traction [2, 3]. …”

Section: Discussionmentioning

confidence: 99%

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Rotation Flap Reconstruction for Nasal Tip Defect after Mohs Surgery

Skaria¹

2006

Dermatology

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Background: Skin cancer of the nasal tip is frequent, and reconstruction after Mohs surgery might be challenging. The rotation flap is a very commonly used flap for reconstructions on the vertex and the extremities but rarely on the nose. In textbooks rotation flaps in nose reconstruction are rarely mentioned. Objective: We present a rotation flap from the caudal tip and the columella of the nose for defects of the lateral tip of the nose. Methods: With graphics and photographs of case studies we explain the mechanism of placement and movement of the flap. Results: The rotation flap is useful for reconstructions of medium-size defects of the distal lateral nose tip. Conclusion: The rotation flap can be used in the reconstruction of laterally placed nasal tip defects. As this flap is not mentioned in textbooks for nasal tip reconstruction, its value for this localization is probably underestimated.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Rotation Flap Reconstruction for Nasal Tip Defect after Mohs Surgery

Skaria¹

2006

Dermatology

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“…This displacement avoids entering the alar rim, and consequently, the distortion of the alar-free margin. 36,37 Larger defects may be managed with horizontal, contralateral extension of the incision, allowing for greater advancement mobility as described by Geist and Maloney (Figure 7). 38 …”

Section: East-west Flapmentioning

confidence: 99%

Advancement Flaps

Kruter

Rohrer

2015

Dermatologic Surgery

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Many factors come into play when using local flaps to reconstruct surgical defects on the face. Close attention must be given to the tissue surrounding the surgical defect and any free margin in the area. Designing the flap closure lines along cosmetic unit junctions and or relaxed skin tension lines, preserving both the form and function of the surrounding structures, and using excellent surgical techniques during the closure will all together help in providing reproducibly outstanding results.

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“…When employed in the nasal pyramid, this flap enables the direct closing even of large defects without any distortions to the nasal apex and more in general to the nasal architecture 3,4 . In fact, the scar is split into two parallel lines linked by a horizontal line.…”

Section: Introductionmentioning

confidence: 99%