1991
DOI: 10.1111/j.1524-4725.1991.tb03980.x
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Nasalis Myocutaneous Sliding Flap: Repair of Nasal Supratip Defects

Abstract: The nasalis myocutaneous sliding flap ("nasalis flap") is an axial island flap based on the branch of the angular artery that supplies the nasalis muscle. The technique for performing this flap for the repair of defects up to 1.5 cm in diameter on the supratip area of the nose is described in detail. Twenty-four cases with supratip defects following Mohs surgery repaired with the nasalis flap are reported. Flap survival was 100% and final cosmetic results were excellent. It is concluded that the nasalis flap s… Show more

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Cited by 25 publications
(13 citation statements)
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References 9 publications
(9 reference statements)
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“… 4 Others also achieved good results in reconstructing nasal defects of up to 1.5 cm diameter in the supratip area. 8 A similar method for repair of larger defects greater than 2 cm in diameter using a myocutaneous V‐Y flap that moves in a vertical direction was developed. 5 This was modified further as an axial dorsonasal V‐Y advancement flap based on branches of the angular artery.…”
Section: Discussionmentioning
confidence: 99%
“… 4 Others also achieved good results in reconstructing nasal defects of up to 1.5 cm diameter in the supratip area. 8 A similar method for repair of larger defects greater than 2 cm in diameter using a myocutaneous V‐Y flap that moves in a vertical direction was developed. 5 This was modified further as an axial dorsonasal V‐Y advancement flap based on branches of the angular artery.…”
Section: Discussionmentioning
confidence: 99%
“…The bilevel approach to flap mobilization is an innovative approach that builds on prior methodology such as the nasalis myocutaneous sliding flap by V. Constantine and S.S. Wee. 50,51 Addressing the reconstruction of specific subunits may be adequate and appropriate in some cases, however, total nasal reconstruction may be required in some instances due to the extent of the defect or in an attempt to provide a superior cosmetic result. R. Kotler and J.R. Mellette Jr. each provides an excellent review on the use of the paramedian forehead pedicle flap for this purpose.…”
Section: Overview Of Selected Historical Highlights In Reconstructivementioning
confidence: 99%
“…Constantine used a similar technique for defects up to 1.5 cm. 2 Wee and colleagues, in 1990, refined the nasal myocutaneous reconstruction using Z-plasty, early dermabrasion, and placement of a bolster. 3 All of these flaps describe repair of defects located superior to the alar groove with a classic island pedicle.…”
mentioning
confidence: 99%