TY - JOUR
T1 - Nasal reconstruction utilizing a muscle hinge flap with overlying full-thickness skin graft
AU - Fader, Darrell J.
AU - Wang, Timothy S.
AU - Johnson, Timothy M.
PY - 2000
Y1 - 2000
N2 - Background: Deep nasal defects of the dorsum, sidewall, and ala can be challenging to repair. Objective: The article describes our experience with a muscle hinge transposition flap with overlying local full-thickness skin grafting for repair of deep nasal defects in a single-stage procedure. Methods: A muscle hinge transposition flap with overlying local full-thickness skin grafting was used immediately after Mohs micrographic surgery to repair 12 deep nasal defects of the dorsum, sidewall, alar lobule, and supratip. Results: No cases of infection, flap, or graft necrosis occurred in our series. Cosmetic and functional outcomes were judged from good to excellent by patient and surgeon. To enhance the cosmetic outcome, 5 patients underwent spot dermabrasion within 2 months of repair. Conclusion: For properly selected small to medium-sized deep nasal defects (1-2 cm) that lack a sufficiently loose adjacent tissue reservoir for a single-stage local flap, a muscle hinge transposition flap with local full-thickness skin grafting can provide consistently satisfying aesthetic and functional results.
AB - Background: Deep nasal defects of the dorsum, sidewall, and ala can be challenging to repair. Objective: The article describes our experience with a muscle hinge transposition flap with overlying local full-thickness skin grafting for repair of deep nasal defects in a single-stage procedure. Methods: A muscle hinge transposition flap with overlying local full-thickness skin grafting was used immediately after Mohs micrographic surgery to repair 12 deep nasal defects of the dorsum, sidewall, alar lobule, and supratip. Results: No cases of infection, flap, or graft necrosis occurred in our series. Cosmetic and functional outcomes were judged from good to excellent by patient and surgeon. To enhance the cosmetic outcome, 5 patients underwent spot dermabrasion within 2 months of repair. Conclusion: For properly selected small to medium-sized deep nasal defects (1-2 cm) that lack a sufficiently loose adjacent tissue reservoir for a single-stage local flap, a muscle hinge transposition flap with local full-thickness skin grafting can provide consistently satisfying aesthetic and functional results.
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U2 - 10.1067/mjd.2000.108374
DO - 10.1067/mjd.2000.108374
M3 - Article
C2 - 11050590
AN - SCOPUS:0033744635
SN - 0190-9622
VL - 43
SP - 837
EP - 840
JO - Journal of the American Academy of Dermatology
JF - Journal of the American Academy of Dermatology
IS - 5
ER -