[Schmid-Meyer fronto-temporal flap for nasal reconstruction]

Area of Science:

• Plastic Surgery
• Otolaryngology
• Reconstructive Surgery

Context:

• Full-thickness nasal defects often require complex reconstruction.
• Established surgical techniques exist, but novel or less common methods warrant evaluation.
• The Schmid-Meyer fronto-temporal flap is a reconstructive technique based on flap autonomization with a composite cartilaginous graft.

Purpose:

• To evaluate the efficacy and outcomes of the Schmid-Meyer flap procedure for full-thickness nasal reconstruction.
• To determine if this technique remains a viable option for repairing defects in the lower third of the nose.

Summary:

• Nine cases of nasal reconstruction using the Schmid-Meyer flap were retrospectively analyzed.
• The procedure involves a multi-step approach with a tailor-made composite cartilaginous graft.
• Excellent reconstruction of the ala, columella, or nasal tip was achieved in specific indications, with 8 out of 9 cases yielding good or very good results, often under local anesthesia (78%).

Impact:

• The Schmid-Meyer flap procedure demonstrates potential for high-quality nasal reconstruction with minimal scarring.
• This technique may be a valuable option for select patients requiring full-thickness repair of the lower nose.
• Further investigation could solidify its role in the reconstructive surgeon's armamentarium.