Herrera-Saval A, García-Hernández MJ, Camacho F

Language: Spanish
References: 5
Page: 215-218
PDF size: 229.79 Kb.

ABSTRACT

Nasal tip reconstruction is a challenging task owing to the special anatomical and cosmetic features, as well as the large individual variability this area exhibits. The use of double hatchet flap and pinch linear advancement flap in several patients having medium-size central nasal tip defects is described in this paper. Double hatchet flap involves two small hatchets outlined at either side of the defect, as the pinch linear advancement flap is a modified advancement flap with two tabs drawn at the tip of the flap, which lead the length of the flap to be shorter. Despite these not widely used flaps are completely different, both share mechanical, design and management requirements, having proven excellent cosmetic results for nasal tip reconstruction.

REFERENCES

1. Jewett BS. Anatomic considerations. En: Baker SR, Naficy S, editors. Principles of nasal reconstruction.1 ed. St Louis: Mosby, 2002; 13-24.

2. Camacho F, de Dulanto F. Cirugía Dermatológica. 1ª ed. Madrid: Aula Médica SA, 1995.

3. García Hernández MJ, Camacho F. Nasal tip reconstruction possibilities. 19th World Congress of Dermatology. Sydney. Australia. Junio 1997.

4. Peng VT, Sturm RL, Marsh TW. Pinch modification of the linear advancement flap. J Dermatol Surg Oncol 1987; 13: 251-3.

5. Rowe D, Warshawski L, Carruthers A.The Peng flap. The flap of choice for the convex curve of the central nasal tip. Dermatol Surg 1995; 21:149-52.