Transposition island pedicle flaps in the reconstruction of nasal and perinasal defects

Repair of a Defect Involving the Nasal Sidewall, Nasal Ala, Alar Sulcus, and Medial Cheek

“…To minimize the risk of flap necrosis, it is important to ensure that the flap pivots with ease along its pedicle and to widely undermine the tissue surrounding the flap to allow for optimal movement and minimal tension. 5 A V-to-Y transposition flap from the melolabial skin to repair the nasal sidewall should be considered as another option for nasal sidewall repair in the appropriate patient, and this flap can likely be considered for other sites as well.…”

Advancement Flaps

“…Twisting of the pedicle increases the risk of necrosis, and its maintenance proximal to the pivot point to minimizes this risk. 23,24 The "flipped IPF" covers defects at oblique angles useful for the nasal ala and sidewall. Up to 180°of twisting of the pedicle can be performed to allow for rotation or transposition into locations not linearly contiguous with the flap.…”