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Horizontal advancement flap for lateral dorsal nasal defects
A Ascari-Raccagni1, M G Righini
1Giovan Battista Morgagni General Hospital, Department of Dermatology, Forlì, Italy. ascrac@libero.it
Summary
The dorsal horizontal advancement flap offers a simple solution for repairing medium to large dorsal nasal defects, minimizing scarring and preserving nasal contour.
Area of Science:
- Dermatologic surgery
- Reconstructive surgery
- Plastic surgery
Background:
- Dorsal nasal defects present a frequent surgical challenge, often caused by basal cell carcinomas.
- Avoiding visible scars, skin mismatches, and nasal contour distortion are key surgical goals.
Purpose of the Study:
- To evaluate the dorsal horizontal advancement flap for repairing medium to large dorsal nasal defects.
- To assess the benefits and limitations of this surgical technique.
Main Methods:
- A prospective study involving 12 patients who underwent dorsal horizontal advancement flap surgery.
- Evaluation of surgical outcomes, including scar appearance and nasal aesthetics.
Main Results:
- The dorsal horizontal advancement flap resulted in well-camouflaged scars in most patients.
- No distortion of the alar contour or nostril was observed.
Conclusions:
- The dorsal horizontal advancement flap is an easy-to-perform procedure.
- It serves as an excellent alternative for selected cases requiring repair of dorsal nasal defects.
