Reconstruction of Defects of the Dorsum of the Nose With Bilateral Transposition Flaps

Abstract

Transposition flaps are old but are the method of choice in reconstruction of defects of the dorsum of the nose. Eleven consecutive patients with such defects were treated with 22 transposition flaps. The nasal defects resulted from tumour (n = 9), trauma (n = 1), and keratoacanthoma (n = 1). The dissection is rapid, easy and the complication rate is low.

Single Stage Turn in Perforator Infraorbital Artery Island Flap for Nasal Ala Reconstruction

“…The nasal reconstructions were described in bibliographic data from the XVth century. [ 7 ] The description of nasal reconstruction with arm flap was described in the first textbook for plastic surgery “De curtorum chirurgia per insitionem” in 1597 by Gaspare Tagliagozzi. [ 8 ] The reconstruction of the nasal skin defects coul be performed by different procedures.…”

“…[ 9 ] A well-known and mostly used skin flap from the nasolabial region is supplied by the facial, angular and infraorbital artery. [ 7 ] For the reconstruction of skin defects in the lateral nasal wall there are different advanced, rotation or transposition flaps on infraorbital artery. [ 10 - 12 ] For the reconstruction of the defect on the nasal ala base, a jigsaw puzzle flap can be used.…”