2006
DOI: 10.1111/j.1524-4725.2005.31174
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Use of a Skin-Fat Composite Graft to Prevent Alar Notching: An Alternative to Delayed Postoperative Repair

Abstract: This procedure is presented as an alternative to delayed cartilage grafting for repair of alar rim notching after placement of an interpolated pedicle flap. If notching is noted early, correction at the time of pedicle division allows for use of available tissue for composite grafting, avoidance of a delayed reconstructive procedure, and a good functional and cosmetic

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(1 citation statement)
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“…Alar retraction is the most common complication of full-thickness alar defects, which often results from necrosis of the mucosal lining or distal portion of the covering flap. 20,24,29,30 Island Flap Similar to the peninsular flap, begin designing the flap by making a template of the defect. The defect should be no greater than 1.5 to 2.0 cm.…”
Section: Inset and Pedicle Divisionmentioning
confidence: 99%
“…Alar retraction is the most common complication of full-thickness alar defects, which often results from necrosis of the mucosal lining or distal portion of the covering flap. 20,24,29,30 Island Flap Similar to the peninsular flap, begin designing the flap by making a template of the defect. The defect should be no greater than 1.5 to 2.0 cm.…”
Section: Inset and Pedicle Divisionmentioning
confidence: 99%