Oblique Advancement Flap for Defects of the Lateral Nasal Supratip

Alam, Murad; Goldberg, Leonard Harry

doi:10.1001/archderm.139.8.1039

Cited by 10 publications

(7 citation statements)

References 12 publications

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“…In the past decade, a number of flap options for lateral tip and medial alar reconstruction have been described, including a superolateral advancement flap, a horizontal advancement flap, an alar rotational flap, and an oblique advancement flap . These methods of reconstruction are unified in their attempt to use local tissues while maintaining the natural appearance and aesthetic borders of the nose.…”

Section: Discussionmentioning

confidence: 99%

The Z-Advancement Flap for Reconstruction of Lateral Nasal Tip and Medial Alar Defects

Eberlin

Nguyen

Karia

et al. 2014

Dermatologic Surgery

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Section: Discussionmentioning

confidence: 99%

The Z-Advancement Flap for Reconstruction of Lateral Nasal Tip and Medial Alar Defects

Eberlin

Nguyen

Karia

et al. 2014

Dermatologic Surgery

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“…Alam and Goldberg described a crescentic‐type flap, which they referred to as the “oblique advancement flap.”21 This flap is to be used for small defects that are located on the lateral nasal supratip. It is constructed by removing crescents of redundant skin along the alar crease and the nasal sidewall (Figure 9).…”

Section: Types Of Advancement Flapsmentioning

confidence: 99%

Advancement Flaps

Krishnan

Garman

Nunez-Gussman

et al. 2005

Dermatologic Surgery

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“…Primary closures are often not feasible given the limited local skin laxity of the nasal subunits. 7 Secondary intention often results in wound contracture and nasal distortion, especially when performed on the convex surface of the nasal dorsum. 1 Given the…”

Section: Introductionmentioning

confidence: 99%

Applying Occam's Razor and Descending the Reconstructive Ladder: The Modified Cheek Advancement Flap for Reconstruction of Nasal Defects

et al. 2022

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INTRODUCTION: Nasal reconstruction has important functional and cosmetic considerations, as proper repair of nasal defects is necessary to maintain function of the nasal airway and to recreate the normal appearance of this central facial structure. Cheek advancement flaps provide matched, mobile and highly vascularized tissue for the reconstruction of nasal defects, allowing for the concealment of incisions within natural creases in a one-stage approach. However, cheek advancement flaps are often underutilized for nasal reconstruction because of their difficulty restoring nasal contour. METHODS: We describe reconstruction of 19 nasal dorsal and sidewall defects 0.8 to 3.0 centimeters (cm) in size. We incorporated a periosteal anchoring suture to maintain/restore nasal contour and additionally removed a half standing cone inferior to the defect to prevent encroachment of the nasal ala or alar crease. All patients were evaluated at least 3 months post-operatively. RESULTS: In all patients, we were able to restore concavity of the nasofacial sulcus, preserve the biconvex nasal tips, prevent alar flaring and retraction and conserve the alar groove. All patients had excellent functional and cosmetic outcomes. CONCLUSION: We believe this modified cheek advancement flap provides functionally and aesthetically superior results and can be considered as a first-line approach for repair of nasal dorsal and sidewall defects in sub selected patients.

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Oblique Advancement Flap for Defects of the Lateral Nasal Supratip

Cited by 10 publications

References 12 publications

The Z-Advancement Flap for Reconstruction of Lateral Nasal Tip and Medial Alar Defects

The Z-Advancement Flap for Reconstruction of Lateral Nasal Tip and Medial Alar Defects

Advancement Flaps

Applying Occam's Razor and Descending the Reconstructive Ladder: The Modified Cheek Advancement Flap for Reconstruction of Nasal Defects

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