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. 2007 May;119(6):1767-1772.
doi: 10.1097/01.prs.0000259088.47033.aa.

Reconstruction of lower half defects of the nose with the lateral nasal artery pedicle nasolabial island flap

Aydn Turan  1 , Zekeriya Kul, Tayfun Türkaslan, Türker Özyiğit, Zafer Özsoy
Affiliations

Reconstruction of lower half defects of the nose with the lateral nasal artery pedicle nasolabial island flap

Aydn Turan et al. Plast Reconstr Surg. 2007 May.

Abstract

Background: The superiorly based nasolabial flap is a well-known procedure. However, random pattern or subcutaneous pedicle flaps are insufficient for reconstruction of large defects. Artery pedicle flaps have a satisfactory blood supply, and for that reason, the required tissue can be raised for reconstruction of large defects of the nose.

Methods: Twelve cases were operated on with this technique. Reconstruction was performed with a lateral nasal artery pedicle island flap. The mean age of the patients was 68.4 years. Three patients required cartilage grafts for alar rim support. The cartilage grafts were harvested from the auricular conchal bowl. The follow-up period ranged from 15 to 33 months.

Results: There was no partial or total loss of the flap. There was no distortion on the face caused by smiling and pursing of the lips observed. Donor and reconstructed areas have an excellent appearance in all cases. The aesthetic results were satisfying for all patients as well.

Conclusions: The authors' flap can be used for reconstructing large defects of the lower half of the nose, and reconstruction with a single stage yields a fast and satisfactory result. The authors advocate that the lateral nasal artery pedicle nasolabial island flap is an excellent choice for reconstruction of large defects in the lower half of the nose.

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References

    1. Wesser, D. R., and Burt, G. B., Jr. Nasolabial flap for losses of the nasal ala and columella. Plast. Reconstr. Surg. 44: 300, 1969.
    1. Rohrich, R. J., and Conrad, M. H. The superiorly based nasolabial flap for simultaneous alar and cheek reconstruction. Plast. Reconstr. Surg. 108: 1727, 2001.
    1. Mayer, M. H. Nasolabial flap. In G. R. D. Evans (Ed.), Operative Plastic Surgery. New York: McGraw-Hill, 2000.
    1. Nakajima, H., Imanishi, N., and Aiso, D. Facial artery in the upper lip and nose: Anatomy and a clinical application. Plast. Reconstr. Surg. 109: 855, 2002.
    1. Niranjan, N. S. An anatomical study of the facial artery. Ann. Plast. Surg. 21: 14, 1988.

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