Eur J Plast Surg (2008) 31:207–208 DOI 10.1007/s00238-008-0259-6 LETTER TO THE EDITOR Vertical Burrow’s advancement flap for supratip and nasal dorsum reconstruction Damir Kosutic Received: 9 May 2007 /Accepted: 15 April 2008 / Published online: 5 June 2008 Springer-Verlag 2008 Sir, Techniques for reconstruction of nasal dorsum and supratip defects following excision for skin cancer include many different options: bi-lobed flap, naso-labial flap, V-Y advancement to forehead flap, and skin grafting. All of these usually produce satisfactory results, especially for the Fig. 2 Flap elevation after excision older population, where basal cell carcinoma of the nasal skin is one of the most common indications for excision and reconstruction. In these cases, there is oftentimes a distortion of the nasal projection in one or more dimensions Fig. 1 Preoperative excision and flap design visible after reconstruction with a laterally based nasal subunit or a more distally based facial aesthetic unit. Furthermore, since the columella/upper lip angle becomes D. Kosutic (*) narrower with older age, thus moving the tip of the nose Department of Plastic & Reconstructive Surgery, more caudally, the problems with breathing through the University of Maribor General Hospital, nose become more significant (see Figs. 1, 2, 3, 4,
European Journal of Plastic Surgery – Springer Journals
Published: Aug 1, 2008
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