Nasal reconstruction utilizing a muscle hinge flap with overlying full-thickness skin graft.

Abstract:

BACKGROUND:Deep nasal defects of the dorsum, sidewall, and ala can be challenging to repair. OBJECTIVE:The article describes our experience with a muscle hinge transposition flap with overlying local full-thickness skin grafting for repair of deep nasal defects in a single-stage procedure. METHODS:A muscle hinge transposition flap with overlying local full-thickness skin grafting was used immediately after Mohs micrographic surgery to repair 12 deep nasal defects of the dorsum, sidewall, alar lobule, and supratip. RESULTS:No cases of infection, flap, or graft necrosis occurred in our series. Cosmetic and functional outcomes were judged from good to excellent by patient and surgeon. To enhance the cosmetic outcome, 5 patients underwent spot dermabrasion within 2 months of repair. CONCLUSION:For properly selected small to medium-sized deep nasal defects (1-2 cm) that lack a sufficiently loose adjacent tissue reservoir for a single-stage local flap, a muscle hinge transposition flap with local full-thickness skin grafting can provide consistently satisfying aesthetic and functional results.

journal_name

J Am Acad Dermatol

authors

Fader DJ,Wang TS,Johnson TM

doi

10.1067/mjd.2000.108374

subject

Has Abstract

pub_date

2000-11-01 00:00:00

pages

837-40

issue

5 Pt 1

eissn

0190-9622

issn

1097-6787

pii

S0190-9622(00)53912-7

journal_volume

43

pub_type

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