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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
The frontonasal flap: utility for lateral nasal defects and technical refinements
S S Wee1, G J Hruza, T A Mustoe
1Division of Plastic Surgery, Washington University School of Medicine, St. Louis, Missouri.
British Journal of Plastic Surgery
|April 1, 1991
Summary
The frontonasal flap is effective for nasal reconstruction after Mohs surgery. This modified technique improves scar appearance and allows for repair of extensive nasal defects.
Area of Science:
- Plastic Surgery
- Dermatology
- Reconstructive Surgery
Background:
- Mohs micrographic surgery often results in significant nasal defects.
- Nasal reconstruction presents challenges due to the complex anatomy and aesthetic demands of the nose.
Purpose of the Study:
- To detail the experience with a modified frontonasal flap for nasal reconstruction.
- To evaluate the efficacy of this technique in repairing various nasal defects.
Main Methods:
- A modified frontonasal flap technique was used in 27 patients over 5 years.
- The technique was adapted for caudal one-third defects, with scar shortening.
- Flap combinations (island nasalis, nasolabial) were used for large defects.
- Early dermabrasion was employed for improved scar outcomes in sebaceous skin.
Main Results:
- The frontonasal flap successfully repaired large defects of the lower, upper, lateral, and central nose.
- The modified technique allowed for shorter scars, avoiding forehead extension.
- Combined flaps enabled resurfacing of defects up to 3-4 cm.
- Early dermabrasion positively impacted scar quality in sebaceous areas.
Conclusions:
- The modified frontonasal flap is a versatile and effective method for nasal reconstruction.
- This technique offers improved aesthetic outcomes and addresses challenging defect sizes and locations.
