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[Upper nasolabial flap: improving the surgical technique].

R Abbou¹, J-P Meningaud¹, R Bosc¹

¹Service de chirurgie maxillo-faciale et plastique, reconstructrice, hôpital Henri-Mondor, 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil, France.

Revue De Stomatologie, De Chirurgie Maxillo-Faciale Et De Chirurgie Orale

|July 24, 2014

Summary

This study introduces a modified upper nasolabial flap technique for nasal ala reconstruction. The improved method offers a more discreet scar and better aesthetic outcomes in basal cell carcinoma repair.

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Area of Science:

Plastic Surgery
Dermatologic Surgery
Reconstructive Surgery

Background:

The upper nasolabial flap, described by Kilner and popularized by Préaux, is a recognized technique for nasal ala reconstruction.
Conventional methods can result in noticeable scars and lack a distinct nostril groove.
Improvements are sought to enhance the cosmetic and functional results of nasal reconstruction.

Observation:

A modified upper nasolabial flap technique was applied to an 82-year-old female patient with basal cell carcinoma on the right nasal wing.
Key modifications involved dissecting the superior skin triangle forward and removing the flap pedicle epidermis.
The flap was advanced to reconstruct the alar defect, creating a nostril groove and a single, more discreet scar.

Findings:

Keywords:

Chirurgie nasale Flap Lambeau Nasal surgery

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The modified technique successfully reconstructed the alar defect, recreating a nostril groove.

The resulting scar was more discreet compared to the conventional upper nasolabial flap.

The patient experienced an uneventful postoperative course.

Implications:

This modified technique offers a simple, reliable, and aesthetically elegant solution for nasal ala reconstruction.
It enhances the cosmetic outcome of nasal reconstruction while retaining the advantages of the original flap.
The technique provides an improved option for patients requiring reconstruction of alar defects, particularly those with skin cancer.