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. 2008 Sep;122(3):775-781.
doi: 10.1097/PRS.0b013e318182370b.

Nasolabial flap for nasal tip reconstruction

James F Thornton  1 , William M Weathers
Affiliations

Nasolabial flap for nasal tip reconstruction

James F Thornton et al. Plast Reconstr Surg. 2008 Sep.

Abstract

Background: The nasolabial flap is a pedicled flap with a wide description and application for use in lateral nasal wall, ala, columella, and intraoral reconstruction. It is a versatile flap that is well tolerated by the patient, with very acceptable donor-site scars. The soft and spongy nature of the flap, with its proclivity toward pincushioning, enhances its ability to recreate the convexity of the nasal ala but classically renders it a poor choice for nasal tip reconstruction.

Methods: In this article, the authors review a series of 80 nasolabial flaps, all performed by the senior author (J.F.T.) from 2002 to 2007. Thirty-eight flaps were used for partial or complete tip reconstruction. All patients were followed with postoperative photographs.

Results: There were three complications, with only one resulting in complete loss of the flap.

Conclusion: Through modifications of the flap design, careful selection of the defect, and postoperative management, the nasolabial flap can provide a perfectly acceptable reconstruction option for nasal tip defects.

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References

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