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Updated: Aug 18, 2026
Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
Nasalis island pedicle flap in nasal ala reconstruction
1Division of Dermatology, University of Washington Medical Center, Seattle, Washington 98105, USA. masgari@u.washington.edu
Background:
Defects of the nasal ala can be difficult to repair in a one-stage procedure. We describe a laterally based nasalis myocutaneous island pedicle flap to repair small but deep defects of the superior nasal ala.
Objective:
To describe a single-stage flap for repair of small defects on the nasal ala that confines the repair to one cosmetic unit.
Methods:
We discuss the anatomy of the flap and illustrate the method of placing the flap.
Results:
We present several case examples and discuss potential applications of the flap. We also discuss the flap's limitations by citing an example of necrosis.
Conclusions:
The nasalis myocutaneous island pedicle flap for repair of nasal alar defects is a new application of a one-stage procedure that yields excellent functional and cosmetic results. Knowledge of the limitations and the anatomy of the flap is crucial for a good outcome.