Nasal reconstruction utilizing a muscle hinge flap with overlying full-thickness skin graft

Darrell J. Fader, Timothy S. Wang, Timothy M. Johnson

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish (US)
Pages (from-to)837-840
Number of pages4
JournalJournal of the American Academy of Dermatology
Volume43
Issue number5
DOIs
StatePublished - 2000
Externally publishedYes

ASJC Scopus subject areas

  • Dermatology

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