Options for Internal Lining in Nasal Reconstruction

Interpolated subcutaneous fat pedicle melolabial flap for large nasal lining defects

“…These smaller flaps, as described by Farina and later Millard 10 , were used to reline the vestibule only and are essentially an epithelial turn-in flap. To our knowledge, the present report is the first description of using a two-staged interpolated melolabial flap based off a sizeable subcutaneous fat pedicle to reconstruct large (15 cm 2 in this case) defects of internal nasal lining.…”

Reconstrução nasal complexa: opções cirúrgicas numa série de casos

“…Skin flaps in hinges are too thick and poorly vascularized for reconstruction of the nasal mucosa; they cause distortion and decreased permeability of the nostril cavity 5 , unlike mu cous flaps, which are thin and well vascularized, and provide ideal blood supply for the cartilaginous graft without any obstructions to nasal air flow 6 .…”

Reconstruction of a Large Full-Thickness Nasal Defect

“…If used for larger defects, it risks elevating the alar rim or distorting the alar contour. 2 Thus, neither approach was appropriate for the authors' patient.…”