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Tunneled Transposition Flap for Reconstruction of Defects of the Nasal Ala

Tunneled Transposition Flap for Reconstruction of Defects of the Nasal Ala The extirpation of cutaneous malignancies from the nasal alae is a task that many Mohs surgeons undertake on almost a daily basis. Although the entire nose is a cosmetically significant structure, the nasal alae are particularly sensitive. Suboptimal reconstructions can leave a patient with a striking asymmetry and poor functional results. One of the most difficult types of alar defects to repair is the deep alar defect. Such defects do not readily lend themselves to skin grafts, and any planned flap reconstruction must seek to preserve the architecture of the alar crease, alar rim, and the nasolabial fold. With traditional methods for reconstruction of this type of defect, one or more of these considerations may be sacrificed. We shall describe a single‐stage, tunneled transposition flap that is especially useful for this type of defect and produces excellent aesthetic results. Flap Design and Surgical Technique Before performing the tunneled transposition flap, it is important to determine that the defect can be appropriately repaired with this flap. If it cannot, then a different reconstructive option must be chosen. For the tunneled transposition flap to be considered suitable for the repair of a given alar defect, two important criteria must be http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Dermatologic Surgery Wolters Kluwer Health

Tunneled Transposition Flap for Reconstruction of Defects of the Nasal Ala

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Publisher
Wolters Kluwer Health
Copyright
Copyright © 2007 Wiley Subscription Services, Inc., A Wiley Company
ISSN
1076-0512
eISSN
1524-4725
DOI
10.1111/j.1524-4725.2007.33323.x
pmid
18076618
Publisher site
See Article on Publisher Site

Abstract

The extirpation of cutaneous malignancies from the nasal alae is a task that many Mohs surgeons undertake on almost a daily basis. Although the entire nose is a cosmetically significant structure, the nasal alae are particularly sensitive. Suboptimal reconstructions can leave a patient with a striking asymmetry and poor functional results. One of the most difficult types of alar defects to repair is the deep alar defect. Such defects do not readily lend themselves to skin grafts, and any planned flap reconstruction must seek to preserve the architecture of the alar crease, alar rim, and the nasolabial fold. With traditional methods for reconstruction of this type of defect, one or more of these considerations may be sacrificed. We shall describe a single‐stage, tunneled transposition flap that is especially useful for this type of defect and produces excellent aesthetic results. Flap Design and Surgical Technique Before performing the tunneled transposition flap, it is important to determine that the defect can be appropriately repaired with this flap. If it cannot, then a different reconstructive option must be chosen. For the tunneled transposition flap to be considered suitable for the repair of a given alar defect, two important criteria must be

Journal

Dermatologic Surgery – Wolters Kluwer Health

Published: Dec 1, 2007

References

  • A review of the bilobed flap's design with particular emphasis on the minimization of alar displacement
    Cook, Cook
  • Trapdoor effect in nasolabial flaps
    Koranda, Koranda; Webster, Webster
  • Nasalis island pedicle flap in nasal ala reconstruction
    Asgari, Asgari; Odland, Odland
  • Nasalis myocutaneous island pedicle flap with bilevel undermining for repair of lateral nasal defects
    Papadopoulos, Papadopoulos; Pharis, Pharis; Munavalli, Munavalli; Trinei, Trinei; Hantzakos, Hantzakos
  • One‐stage reconstruction of an alar defect using a bilobed nasolabial‐nasal tip flap based on the aesthetic subunits in Orientals
    Fujiwara, Fujiwara
  • The bilobed island flap in nasal ala reconstruction
    Golcman, Golcman; Speranzini, Speranzini; Golcman, Golcman
  • Transposition flaps in cutaneous surgery
    Rohrer, Rohrer; Bhatia, Bhatia
  • The staged cheek‐to‐nose interpolation flap for reconstruction of the nasal alar rim/lobule
    Fader, Fader; Baker, Baker; Johnson, Johnson
  • The retroangular flap for nasal reconstruction
    Fabrizio, Fabrizio; Savani, Savani; Sanna, Sanna; Biazzi, Biazzi; Tunesi, Tunesi
  • The retroangular flap used in the surgery of nasal tip defects
    Ascari‐Raccagni, Ascari‐Raccagni; Baldari, Baldari
  • Innovations in the island pedicle flap for cutaneous facial reconstruction
    Hairston, Hairston; Nguyen, Nguyen