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Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
Lemmo's flap for nasal dorsum reconstruction
1Department of Maxillo Facial Surgery, University of Milan, San Paolo Hospital, Milan, Italy. giacomo.colletti@gmail.com
Summary
Lemmo's flap offers optimal nasal dorsum reconstruction for selected defects. This technique respects aesthetic principles, resulting in pleasing outcomes with unnoticeable scars.
Area of Science:
- Plastic Surgery
- Dermatologic Surgery
Background:
- Nasal defect reconstruction presents a long-standing surgical challenge.
- Established principles include the subunit principle and scar camouflage.
Purpose of the Study:
- To evaluate the efficacy of Lemmo's flap for nasal dorsum reconstruction.
- To assess adherence to established reconstructive principles.
Main Methods:
- Lemmo's flap was used in 5 patients for nasal dorsum defects (April 2008-March 2009).
- Defects resulted from basal cell and squamous cell carcinoma excisions.
Main Results:
- All 5 patients achieved pleasing aesthetic results.
- No postoperative deformities were observed.
- Scars were unnoticeable in all cases.
Conclusions:
- Lemmo's flap is a viable option for nasal dorsum skin reconstruction.
- It is particularly suitable for small to medium-sized defects of the caudal nasal dorsum.
