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The Rintala flap: a versatile procedure for nasal reconstruction.
Kiyoshi Onishi1, Emi Okada1, Akiko Hirata2
1Department of Plastic and Reconstructive Surgery, Toho University.
American Journal of Otolaryngology
|July 24, 2014
Summary
The modified Rintala flap enhances nasal reconstruction by improving blood flow, offering a simple and effective technique for restoring glabellar and nasal tip aesthetics with stable outcomes.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Otolaryngology
Background:
- Local flaps using adjacent tissue are preferred for nasal reconstruction due to aesthetic considerations.
- The Rintala flap is a valuable technique for nasal reconstruction.
- Modifications aim to improve blood supply and expand clinical applications.
Purpose of the Study:
- To evaluate a modified Rintala flap technique for nasal reconstruction.
- To assess the efficacy of increased blood flow to the Rintala flap.
- To determine the suitability of the Rintala flap for glabellar and nasal tip reconstruction.
Main Methods:
- The Rintala flap was used for defects of the middle third of the nasal dorsum.
- For lower third defects, the flap was augmented with blood supply from the lateral nasal artery.
- The technique involves dissection on a supraperiosteal plane.
Main Results:
- The procedure was performed on 15 patients, with 12 receiving the standard Rintala flap and 3 the modified version.
- All patients experienced stable blood supply to the flap.
- Favorable aesthetic and functional outcomes were achieved in all cases.
Conclusions:
- The modified Rintala flap allows for natural contour and morphology reconstruction of the glabellar and nasal tip.
- This technique is simple, easy to perform, and extends the clinical utility of the Rintala flap.
- It represents a useful and effective option for nasal reconstructive surgery.
