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Interpolated subcutaneous tissue pedicle melolabial flap for internal lining in full‐thickness nasal defects
Author(s) -
Griffin Garrett R.,
Chepeha Douglas B.,
Moyer Jeff S.
Publication year - 2011
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.22306
Subject(s) - griffin , otorhinolaryngology , medicine , head and neck , head and neck surgery , general surgery , anatomy , surgery , art , classics
The melolabial crease separates the cheek from the upper and lower lips. At this point, fibers from the superficial musculoaponeurotic system (SMAS) insert into the dermis. Medial to this line, there is minimal subcutaneous fat and the facial musculature is tightly adherent to the skin. Lateral to the crease, there is abundant subcutaneous fat. The cheek jowl complex is the facial region with the greatest quantity of redundant skin, allowing anteromedial cheek advancement for primary closure of even very large defects. The resultant closure line lies within or parallel to the melolabial crease, maximizing scar camouflage. The tissue in this area is also very vascular, supplied and drained by tributaries of the facial artery and vein.