Local Flaps for Nasal Reconstruction

2014 ◽  
pp. 415-443
Author(s):  
Jeffrey Moyer
2008 ◽  
Vol 122 (5) ◽  
pp. 130e-139e ◽  
Author(s):  
Lifei Guo ◽  
Jonathan R. Pribaz ◽  
Julian J. Pribaz

2010 ◽  
Vol 3 (1) ◽  
pp. 13-15 ◽  
Author(s):  
JS Thakur ◽  
NK Mohindroo ◽  
DR Sharma

Abstract Cancers and granulomatous diseases cause wide spread destruction of nose and reconstruction is a challenge to the surgeon. majority of the surgical defects after BCC excision can be reconstructed by full thickness skin grafts, bilobed and rhomboid local flaps but excision of SCC and large BCC lead to large surgical defects which need regional or distant flaps for reconstruction like median forehead flaps.


2017 ◽  
Vol 33 (01) ◽  
pp. 058-066 ◽  
Author(s):  
Matthew Fort ◽  
Artemus Cox

AbstractThe challenges of nasal reconstruction are readily apparent to any surgeon who has undertaken this task. Defects involving multiple subunits of the nose usually require adjacent tissue transferred to the wound typically in the form of a forehead flap or other local flaps. Herein, we describe current thought on the subunit principle and the application of local flaps and grafts in reconstructing larger superficial defects of the nose. Primary attention is paid to analysis and patient counseling.


1978 ◽  
Vol 31 (4) ◽  
pp. 343-348 ◽  
Author(s):  
Ian T. Jackson ◽  
Clive D. Reid

2020 ◽  
Vol 36 (01) ◽  
pp. 091-101
Author(s):  
Caitlin Boling Iorio ◽  
J. Jared Christophel ◽  
Stephen S. Park

AbstractThe nose plays a crucial role in the human experience, both aesthetically and functionally. The biomechanics of covering flaps, the importance of a firm framework, and the anatomical basis for aesthetic subunits are imperative concepts as one proceeds through the algorithm of reparative options. The subunits consist of three paired units—the ala, soft tissue facets (also known as soft tissue triangles), and sidewall, as well as three unpaired units—the dorsum, tip, and columella. Because many defects cross aesthetic subunits, it is critical to understand when to adapt the subunit principle and how or when to use a combination of techniques. It can be more challenging to apply the subunit principle to small grafts and local flaps of the nose. Convex subunits, such as the nasal tip and alar lobule, more frequently follow the subunit principle. In our practice, we adhere to a teaching of producing “straight lines and sharp corners.” This applies to local flaps and grafts and focuses on keeping scar lines inconspicuous. In this article, we discuss approaches we follow for various defects along with technical pearls for performing these reconstructions. The subunit principle is more of a practice of thinking of resultant scars within a background of existing lines, reflections, and contour inflections.


1994 ◽  
Vol 10 (04) ◽  
pp. 337-348 ◽  
Author(s):  
Henry Hollier ◽  
Fred Stucker

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