Expanded Applications of the Dorsal Nasal Flap

Bitgood, Mark Joseph; Hybarger, C. Patrick

doi:10.1001/archfaci.9.5.344

Cited by 10 publications

(8 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…O retalho de Rieger assemelha-se a um retalho romboide, aproveitando tanto o excesso cutâneo glabelar, quanto as rítides glabelares, que acabam por ocultar as cicatrizes de fechamento da área doadora 3 . Dessa forma, encontra-se preferencialmente indicado em pacientes com idade mais avançada, os quais dispõem de tais características.…”

Section: Discussionunclassified

“…O retalho de Rieger é útil para defeitos de terço médio/inferior do nariz que tenham menos de 2 cm de diâmetro e pelo menos 1 cm da margem alar 3,4 . Qualquer tentativa de estender o retalho mais inferiormente pode acarretar em elevação e distorção da narina, podendo gerar assimetria e problemas funcionais.…”

Section: Discussionunclassified

“…É importante ressaltar que o retalho de Rieger também pode ser utilizado em defeitos maiores de 2 cm, às custas de maiores graus de deformidade nasal. Neste contexto, é uma boa alternativa àqueles pacientes que não consentem em serem submetidos ao retalho frontal paramediano, por não aceitarem a cicatriz frontal ou por preferirem um procedimento de apenas um estágio cirúrgico (3,5).…”

Section: Discussionunclassified

See 2 more Smart Citations

Retalho de Rieger: resultados estéticos e satisfação dos pacientes

Valiati¹,

Filho²,

Cunha³

et al. 2011

Rev. Bras. Cir. Plást. (Impr.)

View full text Add to dashboard Cite

Descritores: Retalhos cirúrgicos. Nariz/cirurgia. Procedimentos Cirúrgicos Reconstrutivos. Neoplasias Nasais. ABSTRACT Background:The Rieger's flap was first described by its eponym, in 1967, as a good option for coverage of dorsal nasal soft-tissue defects. Objectives: To evaluate aesthetic results and patient satisfaction after nasal reconstruction with Rieger's flap. Methods: Retrospective analysis of 10 patients who underwent the procedure in 2009. We evaluated the aesthetic results using photographic analysis and satisfaction score according to the patients' complaints. Results: The mean age was 67 years old. A total of 7 men and 3 women underwent the procedure in 2009. The overall photographic aesthetic result score was 8.9; the overall satisfaction score was 9.0. Conclusion: The Rieger's flap is a good option for coverage of defects of the medium/distal nasal dorsum that are less than 2.0 cm in diameter. When performed on selected patients, the Rieger's flap is an aesthetically predictable one-stage procedure.

show abstract

Section: Discussionunclassified

See 1 more Smart Citation

Retalho de Rieger: resultados estéticos e satisfação dos pacientes

Valiati¹,

Filho²,

Cunha³

et al. 2011

Rev. Bras. Cir. Plást. (Impr.)

View full text Add to dashboard Cite

show abstract

“…The modified Reiger flap is used for defects of the nasal tip or lower half of the nose that are less than 2 cm in diameter and greater than 5 mm from the alar rim. In a retrospective review of 61 patients who underwent this procedure, Bitgood and Hybarger [17] reiterate the versatility of the dorsal nasal flap and its success as a single stage procedure.…”

Section: Modified Reiger Flapmentioning

confidence: 99%

Advances in nasal reconstruction

Shaye

Sykes

Kim

2011

Current Opinion in Otolaryngology & Head and Neck Surgery

View full text Add to dashboard Cite

show abstract

“…This includes the lengthening of the leading edge and modifying the rotation arc which helps overcome the pivotal tension always accompanying the dorsal nasal flap. This modification allows the closure of larger defects (more than 2cm) in single-stage procedures with perfect aesthetic and functional outcomes [6,9]. In addition, this modification has many advantages.…”

Section: Introductionmentioning

confidence: 99%

The Versatility of Expanded Applications of the Dorsal Nasal Flap in Nasal Reconstruction

Aldabaany,

Elghamry,

Abdelhady

et al. 2024

The Egyptian Journal of Plastic and Reconstructive Surgery

View full text Add to dashboard Cite

Background: Aesthetic nasal reconstruction always offers a challenge to the plastic surgeon, especially with large defects of more than 2cm. The modification of the dorsal nasal flap might offer a superior alternative for the forehead flap.Objective: In this study, we aimed to assess the outcomes of the dorsal nasal flap in the reconstruction of large nasal defects beyond the original indications. Patients and Methods:We have prospectively studied 12 patients older than 40 years with skin-only nasal defects occupying the distal 2/3 of the nose, larger than 2cm in size, and/ or located less than 5mm from the alar rim. A modified dorsal nasal flap was done in all the cases. Results:The mean age of patients was 59.33±7.01 years. The mean dimensions of lesions were 25±2.32mm with a mean distance of 2.57±1.62mm from the alar rim. Regarding Aesthetic outcomes, patients and surgeons expressed excellent color match in 91.7% of patients. As for alar retraction, patients and doctors expressed good to excellent results in 83% of patients. Additionally, patients and physicians reported good to excellent nostril shape in 83.3% and 66.6% of patients respectively. Regarding the flap thickness, patients and doctors expressed good to excellent results in 91.6% and 75% of patients respectively. Conclusion:The dorsal nasal flap seems to be more applicable than classically reported. Defects up to 29mm in size and/or defects located 2mm from the alar rim result in acceptable to excellent aesthetic outcomes when the modified dorsal nasal flap applied in this work is used. Our modified dorsal nasal flap resulted in excellent outcomes in 4 cases, accepted outcomes in 5 cases, and unfavorable outcomes in 3 cases.

show abstract

Expanded Applications of the Dorsal Nasal Flap

Abstract: The dorsal nasal flap technique is more versatile than has been traditionally appreciated and can allow single-stage reconstruction of many sizes of defects affecting various areas of the nose.

Cited by 10 publications

References 7 publications

Retalho de Rieger: resultados estéticos e satisfação dos pacientes

Retalho de Rieger: resultados estéticos e satisfação dos pacientes

Advances in nasal reconstruction

The Versatility of Expanded Applications of the Dorsal Nasal Flap in Nasal Reconstruction

Contact Info

Product

Resources

About