Related Experiment Video
Updated: Jun 20, 2026

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
Nasal downward swing approach coupled with the facial dismasking flap
Seiji Kishimoto1, Atsunobu Tsunoda, Hiroko Koda
1Department of Head and Neck surgery, Tokyo Medical and Dental University, Tokyo, Japan.
Objective:
For the purpose of an en bloc resection with sufficient margins, a wide surgical field is necessary. We have reported on the application of a facial dismasking flap for removals of craniofacial lesions in order to provide a better surgical field with less morbidity. In this paper, we are introducing a new method, which is called the "nasal downward swing approach".
Methods:
This approach is a modification of the facial dismaking flap, which elevates the nasal bone along with the facial skin.
Results:
This approach offers an extremely wide surgical field on the facial front, especially the nasal cavity, while keeping scarring or facial paresis down to a bare minimum.
Conclusion:
This approach helps to preserve the entire shape of the nasal bone in particular, therefore, a good surgical option for pediatric patients.
Related Concept Videos
Cardiopulmonary Resuscitation II: ACLS Airway Management
Suctioning the Nasopharyngeal Airway
Equipment Required
Nose and Nasal Cavity
Muscles for Facial Expressions
Suctioning the Oropharyngeal Airway
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
Facial Feedback Hypothesis
