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Horizontal advancement flap for lateral dorsal nasal defects
Author(s) -
AscariRaccagni A,
Righini MG
Publication year - 2006
Publication title -
journal of the european academy of dermatology and venereology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.655
H-Index - 107
eISSN - 1468-3083
pISSN - 0926-9959
DOI - 10.1111/j.1468-3083.2006.01479.x
Subject(s) - medicine , scars , dorsum , nostril , nose , nasal dorsum , rotation flap , surgery , rhinoplasty , anatomy
Background Repairing dorsal nasal defects is a frequent challenge for dermatologic surgeons, mainly due to the high frequency of basal cell carcinomas on this site. Obvious scars, mismatched skin and distortion of the nasal contour are the surgical hazards that must be avoided in these cases. Aim Our aim was to perform surgery involving a simple flap in order to repair medium to large defects on the dorsal side of the nose. Methods The dorsal horizontal advancement flap was studied in 12 patients, in order to evaluate the benefits and limits of this surgical procedure. Results The resulting scars on most of our patients were well‐camouflaged among their natural skin lines, and there was neither distortion of the alar contour nor the nostril. Conclusions This flap is easy to perform and, in selected cases, provides an outstanding alternative to second‐intention healing, full‐thickness skin grafts, transposition, rotation and pedicle flaps.