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The Dorsal Nasal Flap Revisited
Aesthetic Refinements in Nasal Reconstruction
Marc S. Zimbler, MD;
J. Regan Thomas, MD
Arch Facial Plast Surg. 2000;2:285-286.
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INTRODUCTION
RECONSTRUCTING SURGICAL DEFECTS of the nasal tip and lower third of the nose presents a unique challenge for the facial plastic surgeon. Treatment options include: secondary intention healing, full- and split-thickness skin grafts, and local and distant flaps. Owing to the unique texture and color of nasal skin, it is always preferable that like tissue be replaced by like tissue. Scars are best placed at the junction of aesthetic units while reconstruction should adhere to nasal subunit principles.
The work of Burget and Menick1 raised the standard for nasal reconstruction; however, the popularized paramedian forehead flap is a distant flap with significant donor site morbidity and requires second-stage reconstruction. The dorsal nasal flap is a local flap that uses nasal skin for a single-stage reconstruction. It involves rotation advancement of dorsal nasal skin from the upper two thirds of the nose and . . . [Full Text of this Article]
SURGICAL TECHNIQUE
COMMENT
From the Department of Otolaryngology–Head & Neck Surgery, Division of Facial Plastic Surgery, Saint Louis University, St Louis, Mo. Dr Zimbler is now with the Department of Otolaryngology–Head & Neck Surgery, Division of Facial Plastic Surgery, Beth Israel Medical Center, New York, NY.
RELATED ARTICLE
Archives of Facial Plastic Surgery Reader's Choice: Continuing Medical Education
Arch Facial Plast Surg. 2000;2(4):291-292.
EXTRACT
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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Expanded Applications of the Dorsal Nasal Flap
Bitgood and Hybarger
Arch Facial Plast Surg 2007;9:344-351.
ABSTRACT
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