Island Pedicle Flap for Alar Defects

Abstract

The authors have indicated no significant interest with commercial supporters.

Reconstruction algorithm for nasal basal cell carcinoma with skin involvement only: analysis of 221 cases repaired by minor surgery

“…Transection of motor nerves to the nasal muscles has minimal consequences, and injury to sensory nerves leads only to temporary anaesthesia, with recovery achieved within 12 months . Complications that produce blunting of the grooves or trapdoor deformities are less likely to occur with the island pedicle flap, compared with the transposition and rotation flaps …”

Advancement Flaps

“…Because this option tends to blunt the alar groove on crossing the cosmetic subunit in question, it should be reserved for those with naturally shallow alar indentations. 21 The addition of a rotational component to the IPF adds a desired contour irregularity useful to cover defects that encompass the nasal ala, sidewall, cheek, and cutaneous upper lip and described as the "shark" IPF. 22 Transposition has been described with IPFs from melolabial cheek to the nasal ala and the glabella to the upper half of the nose.…”

Repair of a Defect Involving the Inferior Nasal Tip and Soft Triangle

“…The inflexible and sebaceous distal nose makes recruitment of surrounding tissue difficult. 1 Reconstruction should also avoid distortion of the free margin where even small deviations in soft triangle alignment can lead to marked asymmetry. Loss of cartilage must also be addressed to provide structural integrity, and the inner lining of the nasal mucosa should be reestablished.…”