Crescentic Nasojugal Flap for Nasal Tip Reconstruction

Abstract

Numerous flap options are available to reconstruct tissue loss from the tip of the nose. The nasojugal flap we describe, due to its great reliability, yields excellent functional and cosmetic results, and we believe that it is a valuable alternative to other techniques of reconstruction for defect of the nasal tip. For the 11 patients who underwent surgery with this flap, no major complication was reported. The aesthetic result was never compromised, and the scars result was very satisfactory.

The “Sine Wave” Flap for the Repair of Defects of the Distal Nose

“…The SWF uses established surgical design principles; it is a modification of the horizontal‐J repair that Snow and colleagues reported and the crescentic nasojugal flap that Smadja more recently highlighted. The modified nasalis flap of Wheatley and colleagues also shares similar design principles, but their particular closure in our experience is better suited to smaller defects on the central nasal tip.…”

“…Differences in resultant scars between various closure options for defects of the distal nose: (A) Horizontal‐J flap and (B) crescentic nasojugal flap (both of which may efface the ala‐cheek sulcus or apical triangle of the upper lip). (C) Modified nasalis flap (better suited to small central defects of the nasal tip).…”

“…Numerous single‐stage, local skin flaps have been promulgated to optimize outcomes in distal nasal reconstruction for vertically orientated defects such as that in our patient. These include the dorsal‐nasal rotation flap of Reiger, the nasal‐sidewall rotation flap, the Peng flap, the horizontal‐J flap, the crescentic nasojugal flap, the modified nasalis flap, and the anchor flap . Although all of these repair options have their merits for specific nasal defects, the first three of the aforementioned flaps involve creating scars along the nasofacial sulcus, which although often well disguised, create an abnormal line between the cheek and nose.…”

The AIRNS flap: An alternative to the bilobed flap for the repair of defects of the distal nose

“…[3][4][5][6][7][8][9] Indeed, the role of the myocutaneous island pedicle flap for the aesthetic repair of distal nasal defects has certainly been advocated as an attractive option, providing the reconstructive surgeon with a highly efficient flap that, like the AIRNS and bilobed flaps, respects the principles of cosmetic subunit repair and enables all the principles of tissue match to occur. 10 Although Zitelli's modification of the bilobed flap remains a robust and widely adopted closure technique for the distal nose, because of the potential consequences of individual suboptimal flap design and execution 11,12 (eg, pincushioning, alar displacement, airflow obstruction), numerous adjustments ensuring its correct design have been proposed.…”

Cosmetic Reconstruction of a Nasal Plane and Rostral Nasal Skin Defect Using a Modified Nasal Rotation Flap in a Dog

“…When closing defects on the rostral part of the nose and the nasal plane, often maximum length of flaps is required, which may result in partial necrosis of the tip of flaps leading to wounds in the rostral nasal area that need to close by second intention. Local skin flaps would therefore be preferable for closure of nasal defects and would have the additional advantage of a more cosmetic result . So far, practical and cosmetically satisfactory techniques with local skin flaps for closure of rostral nasal dorsum or nasal plane defects in dogs have not been reported.…”