Tunneled Melolabial Pedicle Flap for Small but Deep Lateral Alar Rim Defect

Mahlberg, Matthew J.

doi:10.1111/dsu.12202

Cited by 9 publications

(8 citation statements)

References 5 publications

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“… 4 The design for this flap allows planning of the scar on the donor area to be placed in transition areas of cosmetic units, such as demonstrated in the cases 1 and 2, where the scars were hidden in the nasolabial fold. 10 With this option, we were able to repair extensive defects of the nose, where tissue mobility is reduced, maintaining color and texture of the adjacent skin and preserving the alar crease.…”

Section: Discussionmentioning

confidence: 99%

“…It is necessary to measure correctly the pedicle to compensate the shortening caused while mobilizing and tunneling the flap, not damaging underlying structures in the process. 10 It is equally necessary to put the flap in position, in a way that blood flow is not compromised by tension or compression by the tunnel. Occasionally, there is a slight bulging in the tunneled pedicle, but this effect usually improves with time and rarely needs correction.…”

Section: Discussionmentioning

confidence: 99%

“…A subtle trapdoor effect does not require any action besides frequent massaging of the flap and it can actually be beneficial in some situations as, for example, when recreating the round shape of the ala nasi. 10 …”

Section: Discussionmentioning

confidence: 99%

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Tunneled island flaps in facial defects reconstruction

Gouveia

Brinca

et al. 2017

An. Bras. Dermatol.

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The reconstruction of facial surgical defects is usually challenging for the dermatologic surgeon. Three different cases of facial defects in which tunneled island flaps were used are reported. In 2 cases, wide defects involving the nasal dorsum and ala were repaired using a nasolabial island flap tunneled through the lateral side of the nose. A tunneled island glabellar flap was used for medial canthus reconstruction in the third case. Despite complex pedicle dissection and frequent trapdoor deformation, tunneled island flaps allow reconstruction of wide defects in a single-staged procedure, camouflaging the scar of the donor area in boundaries of cosmetic units and preserving the facial central symmetry.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Tunneled island flaps in facial defects reconstruction

Gouveia

Brinca

et al. 2017

An. Bras. Dermatol.

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“…12 Dissection continues superiorly beyond the flap beneath the deepithelialized region, where the plane is gradually deepened to generate a vascular pedicle containing superficial portions of the facial musculature. 12,15 The most distal portion of the pedicle should be no thicker than 3 to 4 mm to avoid bulkiness in the nasal-facial sulcus after the tunneling process. 14 On the contrary, the more proximal portion of the pedicle should be thicker than 3 to 4 mm to ensure a robust blood supply.…”

Section: Methodsmentioning

confidence: 99%

Tunneled Interpolated Flaps in the Reconstruction of Nasal Defects

Bonito

Pinho

Brinca

et al. 2021

SPDV

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The reconstruction of nasal skin defects is a challenge even for an experienced dermatological surgeon. When the defect is too large or complex to be corrected with simpler flaps, interpolated flaps are a good option, but they usually require two surgeries. Tunneled interpolated flaps were developed to allow the reconstruction of complex defects in only one surgical procedure. In nasal reconstruction, the main tunneled flaps are the paramedian forehead and the melolabial flaps. This review will focus on these two flaps: description of the technique, applications, advantages and disadvantages.

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“…In Table 2, we review the main advantages and caveats of some of the most useful surgical techniques for nasal ala reconstruction. [4567891011121314]…”

mentioning

confidence: 99%