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Reconstruction of Large Transmural Nasal Defects With a Nasolabial Turnover Interpolation Flap
Joshua E Lane1,2,3,4, Ling-Lun Bob Hsia5, Bradley G Merritt6
1Department of Surgery, Mercer University School of Medicine, Macon, Georgia.
Background:
Reconstruction of large nasal surgical defects often warrant the use of mucosal flaps to repair the inner lining. This often presents a challenge for surgical reconstruction.
Objective:
To describe a unique reconstructive option for the repair of large surgical wounds that necessitate mucosal nasal lining.
Materials And Methods:
This study is a retrospective review of 10 patients who underwent surgical reconstruction of large nasal and/or heminasal surgical defects following Mohs micrographic surgery. A nasolabial turnover interpolation flap was used to repair missing nasal mucosal lining, coupled with a cutaneous flap which typically involved a paramedian forehead flap. The duration of follow-up was 8 months. An aesthetic and functional surgical outcomes measure was used to assess the final repair.
Results:
Favorable aesthetic outcomes were obtained in all patients and without need of revision surgery by the use of a nasolabial turnover interpolation flap.
Conclusion:
The nasolabial turnover interpolation flap offers a reliable and effective method of repair for large transmural nasal surgical wounds. We typically paired this nasal lining flap with a paramedian forehead flap with reliable and aesthetic outcomes. This technique is straightforward, reproducible, and with both good aesthetic and functional outcomes.
