Rotation Flap Reconstruction for Nasal Tip Defect after Mohs Surgery

Skaria, Andreas M.

doi:10.1159/000093850

Cited by 7 publications

(5 citation statements)

References 14 publications

(10 reference statements)

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“…We published for round defects on the lateral tip the possibility of a rotation flap from the under tip of the nose, this would be also possible for longitudinal defects but the orientation of the defect has to be craniocaudal in contrary to the defects showed in this paper 5 …”

Section: Discussionmentioning

confidence: 91%

Birhombic flap, a modified bilobed flap, for repair of nasal defect

Skaria

2012

Acad Dermatol Venereol

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Background Reconstruction of longitudinal defects of the lateral nasal alar might be challenging. Reconstruction with a bilobed flap is common for round defects normally the bilobed flap is less suited for longitudinal defects. Objective We describe a birhombic flap for longitudinal defect. Methods Demonstration of the technique and practical application for this kind of reconstruction. Results The bilobed flap is a very useful flap for lateral nasal tip or distal alar reconstruction. We show that a small modification of the flap allows to cover also longitudinal defects on the lateral tip of the nose. As the first lobe movement corresponds more to the rhomboid transposition flap, we prefer to call it birhombic flap. Conclusion The birhombic flap has its place in reconstructive surgery. This flap has a specific indication and precise advantages to other repairs in particular to the bilobed flap.

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Section: Discussionmentioning

confidence: 91%

Birhombic flap, a modified bilobed flap, for repair of nasal defect

Skaria

2012

Acad Dermatol Venereol

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“…In some cases where the defect is not too big and only slightly lateralized, the donor site can be the same anatomical subunit as I published in 2006 for a rotation flap of the tip of the nose [9]. …”

Section: Discussionmentioning

confidence: 99%

The Medial Based Bi- or Trilobed Flap for Repair of Distal Alar Defects

Skaria

2013

Dermatology

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Background: Reconstruction of defects of the lateral nasal ala might be challenging. Reconstruction with a bi- or trilobed flap is common. The laterally based bi- or trilobed flap for defects of the distal ala or lateral tip of the nose produces mostly tissue protrusion in the nasal groove which is aesthetically unpleasant. Why not use more the medially based bi- or trilobed flap? Objective: To describe the utility of bilobed and trilobed flaps for alar defects insisting on the design of medially based flaps. Methods: To show the technique and practical application for this kind of reconstruction. Results: The bi- and trilobed flaps are useful for defect repair between the lateral nasal tip and the distal ala. We observed that in most cases the flap based medially respects anatomical subunits better than the laterally based flap for medium-sized defects of the distal ala of the nose. Conclusion: I suggest that the bi- and trilobed flaps for repair of the lateral tip/distal ala should more often be medially based. This flap has a specific indication and precise advantage compared to other reconstructions, especially to the laterally based multilobed flaps in this specific indication.

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“…A circular defect is one of the most commonly encountered defect types after facial tumor excision, especially after popularization of the Mohs surgical excision [ 2 ]. To close a circular skin defect, many flaps have been defined in the literature [ 3 – 5 ]. With these methods, the circular defects often are changed into rhomboid or square shapes by making additional excisions from healthy skin.…”

Section: Discussionmentioning

confidence: 99%

Double Opposing-Rhomboid Flaps for Closure of a Circular Facial Defect in a Special Position

Zheng

2008

Aesth Plast Surg

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Various techniques are used to repair circular defects in special positions on the face. Simple closure will yield unsatisfactory results because of skin tension. As an ideal method of reconstruction, various flaps are used to provide a versatile and safe alternative. The authors applied double opposing-rhomboid flaps, which provided for closure of a circular skin defect without alteration to the original shapes of the vital structures and resulted in an imperceptible scar. With careful designing, 21 patients with circular defects caused by skin tumor excisions to special facial positions have attained effective functional and aesthetic results using this method since 2004.

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Rotation Flap Reconstruction for Nasal Tip Defect after Mohs Surgery

Cited by 7 publications

References 14 publications

Birhombic flap, a modified bilobed flap, for repair of nasal defect

Birhombic flap, a modified bilobed flap, for repair of nasal defect

The Medial Based Bi- or Trilobed Flap for Repair of Distal Alar Defects

Double Opposing-Rhomboid Flaps for Closure of a Circular Facial Defect in a Special Position

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