Repair of a Full-Thickness Defect Involving Multiple Cosmetic Subunits of the Central Face

Moye, Molly S.; Nijhawan, Rajiv I.

doi:10.1097/dss.0000000000001130

Cited by 3 publications

(2 citation statements)

References 3 publications

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“…The secondary defect from the hinge flap is most often closed primarily, whereas the remaining cutaneous defect can be repaired with another flap, such as a V to Y advancement flap, a Burrow's FTSG [Figure 2], a nasolabial/melolabial foldover flap [Figure 3], or PMFF [Figure 4] depending on the size and orientation of the secondary defect. 16,18 The nasal septum is highly vascular and can also be used to reconstruct the nasal lining. 11,19 This robust blood supply stems from septal branches of the superior labial arteries.…”

Section: Hinge Flapsmentioning

confidence: 99%

Section: Secondary Intentionmentioning

confidence: 99%

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Nasal Lining Repair: A Comprehensive Literature Review

Shah,

Tate,

Srivastava

et al. 2024

Dermatol Surg

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BACKGROUND Currently, there are limited reviews in the dermatology literature on how to approach reconstruction of nasal lining in full-thickness nasal defects resulting from Mohs micrographic surgery. Given variable training and experience, dermatologic surgeons may seek additional references to help reconstruct certain advanced defects. We sought to synthesize literature from dermatologic surgery, plastic surgery, and otolaryngology to review repair options and considerations for repair of nasal lining defects. OBJECTIVE To present a comprehensive literature review of repair options for nasal lining reconstruction and discuss advantages, disadvantages, specific anatomic considerations, and techniques to execute such options. MATERIALS AND METHODS Articles from several different reconstructive specialties including dermatologic/Mohs surgery, otolaryngology, and plastic and reconstructive surgery were reviewed. Instructive images were compiled to illustrate several techniques, with additional medical illustration recreations included to help showcase important reconstructive approaches. RESULTS A comprehensive descriptive review of nasal lining repair options for the reconstructive surgeon. CONCLUSION Advanced tumors can result in full-thickness nasal defects, and this review describes various reconstructive options for reconstruction based on the extent of the defect.

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