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Refinement of Nasal Reconstruction with a V/Y-alar-perforator Flap
Dominik L Feinendegen1, Martin F Langer1, J Camilo Roldán1
1Institute of Plastic, Reconstructive and Aesthetic Surgery, Zürich-Zollikon, Switzerland; Department of Hand and Trauma Surgery, University of Münster, Münster, Germany; Department of Cranio-Maxillofacial Plastic Surgery, University of Regensburg, Regensburg, Germany; Adult Aesthetic and Reconstructive Surgery of the Face at Aneasthesia Center at UKE, Hamburg, Germany; and Division of Pediatric Facial Plastic Surgery and Craniofacial Anomalies at the Catholic Childrens Hospital Wilhelmstift, Hamburg, Germany.
Background:
The ala of the nose is vascularized by a dense net of perforators originating from the lateral nasal artery or the angular artery. These vessels reach the ala in a cascade fashion from the alar groove/lateral nasal wall. Based on these vessels, a V/Y flap can be dissected with a wide range of mobility.
Materials And Methods:
Nineteen patients underwent reconstruction of the nose by means of a V/Y-alar-perforator flap alone or in combination with a myocutaneous rotation flap from the lateral nasal wall and/or from the nasal dorsum for reconstruction of defects at the nasal tip, ala of the nose, and/or lateral nasal wall. All patients were followed up 8 months after surgery in average.
Results:
There was no prolonged congestion or any tissue loss. All patients presented postoperatively with excellent aesthetic results, and no nasal distortion was observed.
Conclusion:
The V/Y-alar-perforator flap alone or in combination with a myocutaneous rotation flap proved to be a reliable tool in the armamentarium for reconstruction of nasal tip and alar defects providing good aesthetic results.
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