Advancement flap for the reconstruction of nasal ala and lateral nasal tip defects

Second-Intention Healing of Nasal Alar Defects

“…[17][18][19][20][21][22][23][24][25][26] When performed in the appropriate clinical setting, each of these flaps can yield excellent results, but flap reconstruction requires more-extensive surgery and may have a higher risk of complications. A variety of flap repairs have been described, including bilobed, transposition, island pedicle, rotation, and melolabial transposition flaps.…”

Reconstruction of full-thickness nasal defect by free anterolateral thigh flap

“…Although a full-thickness skin graft is simple, its esthetic outcome may not be acceptable, and it is not appropriate in cases with a fullthickness defect or exposed cartilage and bone. It also provides a suboptimal tissue match, especially in very sebaceous noses [5]. Because of the color and texture similarities, local flaps are used on a large scale in many centers for minor and moderate defects.…”

Combination Nasolabial Transposition Flap and Island Pedicle Flap Following Mohs Surgery of Simultaneous Basal Cell Carcinomas Involving Both Nasal Alae

“…Inferiorly, the alar rim is a free margin and the ala is often composed of sebaceous, sun-damaged skin. Defects involving the ala are difficult to repair surgically for the following reasons: the complex contour, the unique color and texture, the need for mucosal lining, the need for support to counter wound contraction, and preservation of a patent air passage [2][3][4] . The topographic complexity of the nasal ala has frequently challenged the cutaneous surgeon.…”

“…The area has topographic complexity and the characteristics of a thick zone, as described by Berget and Mernick 1,2 . Random patterned flaps from the cheek or proximal nose usually obliterate the supraalar crease or the alar rim and may cause nasal valve malformation due to scar contracture 3,4 . Selecting an appropriate local flap is crucial for cosmetic and functional success.…”