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2015, Number 3

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Dermatología Cosmética, Médica y Quirúrgica 2015; 13 (3)

Hemi-Nasal Flap Rotation to Correct Defects in the Lower Half of the Nose

Ferrario D, Bollea GLA, Molinari LM, Galimberti GN, Galimberti RL

Language: Spanish
References: 7
Page: 246-249
PDF size: 252.12 Kb.


ABSTRACT

Introduction: the nose is an important aesthetic structure, and surgical repair after surgery in this location is a challenge. One of the options for the reconstructive nasal defects is the nasal dorsum flap. A modification of this flap is the hemi-nasal flap, described by Rigg en 1973.
Materials and methods: A patient diagnosed with a 16 × 11 mm primary nodular basal cell carcinoma located in the nasal dorsum is presented. Mohs micrographic surgery was performed and was repaired with a hemi-nasal flap.
Results: images of patients exhibit excellent functional and aesthetic result.
Conclusion: the hemi-nasal flap is a surgical technique of low complexity, as it can be performed under local anesthesia in a single surgical time. Necrosis is very infrequent because of its rich blood supply and the cosmetic result is excellent. This flap is a good option for the reconstruction of defects in the lower half of the nose.


REFERENCES

  1. Schwartz, R.A., “Introduction”, en Schwartz, R.A., Skin sancer: recognition and management, Blackwell Publishing, Massachusetts, 2008: 1-2.

  2. Zimbler, M.S., “The dorsal nasal flap for reconstruction of large nasal tip defects”, Dermatol Surg, 2008, 34 (4): 571-574.

  3. Zavod, M.B., y Goldman, G., “The dorsal nasal flap”, Dermatol Clin, 2005, 23(1): 73-85.

  4. Backer, S.R., “Rotation flaps”, en Backer, S.R., Local flaps in facial reconstruction, 2ª ed., Elsevier, San Louis, 2008: 113-115.

  5. Otero Rivas, M.M., González, Sixto B., Valladares Narganes, L.M. et al., “Reconstruction of full-thickness defect of the alar rim with a combined advancement chondro-mucous and bilobed myocutaneous flap”, Int J Dermatol, 2014, 53: 1027-1030.

  6. Galimberti, G.N. y Ferrario, D., “Indicaciones de la cirugía micrográfica de Mohs”, Piel, 2012, 27 (2): 98-101.

  7. Wentzell, J.M., “Dorsal nasal flap for reconstruction of full-thickness defects of the nose”, Dermatol Surg, 2010, 36 (7): 1171-1178.




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