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Large Nasal Defects with Exposed Cartilage: The Folded Transposition Flap as an Innovative Alternative to the
Kristina Schäfer1, Christina Rudolph2, Sebastian Cotofana2
1Department of Dermatology, Venereology and Allergology, University Hospital Würzburg, Würzburg, Germany.
Dermatology (Basel, Switzerland)
|August 1, 2018
Summary
The folded transposition flap offers a cosmetically superior alternative for reconstructing large nose defects after skin cancer surgery. This technique provides pleasing aesthetic outcomes for nasal tip and dorsum reconstruction.
Area of Science:
- Plastic Surgery
- Dermatology
- Surgical Oncology
Background:
- Skin cancer excision on the nose frequently creates large defects involving cartilage.
- The paramedian forehead flap is a common but complex reconstruction method with potential cosmetic drawbacks.
Observation:
- The folded transposition flap is a two-stage surgical modification.
- It utilizes an extended axial cheek pedicle for initial defect coverage.
- Subsequent thinning and scar revision enhance the aesthetic result.
Findings:
- The folded transposition flap yielded aesthetically pleasing results in all four patients.
- This technique effectively addresses nasal defects with exposed cartilage.
Implications:
- The folded transposition flap presents a viable, aesthetically superior option for nasal reconstruction.
- It offers an improved alternative to the paramedian forehead flap for specific nasal defects.
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