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Using the Peng flap for a wide dorsal nasal defect
Jenny Deluca1, Lukas Tappeiner, Maria Pichler
1Teaching Department of Dermatology, Venereology and Allergology, Academic Teaching Department of Innsbruck Medical University, General Teaching Hospital of Bolzano/Bozen, Italy.
Summary
The Peng flap offers a successful single-stage solution for reconstructing significant nasal defects, providing excellent cosmetic results with minimal complications. This technique is ideal for challenging central nose reconstructions.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Facial Aesthetics
Background:
- Reconstructing central nasal defects is challenging due to cosmetic prominence.
- Standard options include healing by second intention, skin grafts, and local flaps.
Observation:
- A 66-year-old woman with a 3.1 × 7 cm deep defect on the central nose's convex curve was treated.
- The Peng flap was utilized for reconstruction in a single-stage procedure.
Findings:
- The Peng flap procedure was performed without complications.
- Excellent cosmetic outcomes were achieved due to adjacent lax perinasal skin utilization.
- Scar placement between facial cosmetic units and good tissue match for sebaceous nasal skin contributed to the aesthetic success.
Implications:
- The Peng flap is an effective option for reconstructing complex midline nasal tip defects.
- It is also suitable for the convex curve of the central nose, offering a low-complication, single-stage solution.
- This technique provides a favorable aesthetic outcome for challenging nasal reconstructions.
