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Alar Reconstruction with Subcutaneous Pedicled Nasolabial Flap: Difficulties, Considerations, and Conclusions for This Procedure

Alar Reconstruction with Subcutaneous Pedicled Nasolabial Flap: Difficulties, Considerations, and... Background. The subcutaneous pedicled nasolabial flap is a useful material for alar reconstruction. Objective. This article describes the difficulties and considerations in this procedure and discusses the procedural problems involved, drawing conclusions from them. Methods. Case 1: a folded flap was used with a conchal cartilage strut sandwich. Case 2: only a folded flap was used. Case 3: the flap was used to cover the outer surface of the ala, and a mucoperiosteal graft from the hard palate was used for the ala lining. Results. The cartilage strut was not sufficient to support the shape of the ala in case 1. Harvesting a sufficiently wide flap is thought to be important. However, a folded flap had some drawbacks, with the formation of a thick alar rim. Conclusions. The combination of a flap for the outer surface and a mucoperiosteal graft as a lining is thought to be an excellent option for alar reconstruction. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Dermatologic Surgery Wolters Kluwer Health

Alar Reconstruction with Subcutaneous Pedicled Nasolabial Flap: Difficulties, Considerations, and Conclusions for This Procedure

Iwao, Fumiya
Dermatologic Surgery , Volume 31 (10) – Oct 1, 2005
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References (7)

Publisher
Wolters Kluwer Health
Copyright
Copyright © 2005 Wiley Subscription Services, Inc., A Wiley Company
ISSN
1076-0512
eISSN
1524-4725
DOI
10.1111/j.1524-4725.2005.31219
Publisher site
See Article on Publisher Site

Abstract

Background. The subcutaneous pedicled nasolabial flap is a useful material for alar reconstruction. Objective. This article describes the difficulties and considerations in this procedure and discusses the procedural problems involved, drawing conclusions from them. Methods. Case 1: a folded flap was used with a conchal cartilage strut sandwich. Case 2: only a folded flap was used. Case 3: the flap was used to cover the outer surface of the ala, and a mucoperiosteal graft from the hard palate was used for the ala lining. Results. The cartilage strut was not sufficient to support the shape of the ala in case 1. Harvesting a sufficiently wide flap is thought to be important. However, a folded flap had some drawbacks, with the formation of a thick alar rim. Conclusions. The combination of a flap for the outer surface and a mucoperiosteal graft as a lining is thought to be an excellent option for alar reconstruction.

Journal

Dermatologic Surgery – Wolters Kluwer Health

Published: Oct 1, 2005

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