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The Axial Frontonasal Flap for Nasal Tip Defect: A Single Centre Experience
1Otolaryngology, King Saud University, Riyadh, SAU.
Cureus
|November 28, 2019
Summary
The axial frontonasal flap is a successful surgical option for reconstructing nasal tip defects larger than 1.4 cm. This method offers excellent aesthetic and functional outcomes for patients undergoing nasal reconstruction.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Facial Anatomy
Background:
- Nasal tip defects pose significant aesthetic and functional challenges in facial plastic surgery.
- Reconstructive procedures are essential following nasal surgery to restore morphology and appearance.
- The axial frontonasal flap is a recognized technique for nasal tip reconstruction.
Purpose of the Study:
- To evaluate the efficacy of the axial frontonasal flap in reconstructing nasal tip defects.
- To detail the indications and surgical technique for axial frontonasal flap reconstruction.
- To report outcomes in patients with nasal tip defects measuring ≥ 1.4 cm.
Main Methods:
- Retrospective study of 15 patients undergoing nasal tip reconstruction.
- Axial frontonasal flap used for defects ≥ 1.4 cm in shortest diameter.
- Follow-up period of up to 12 months post-surgery.
Main Results:
- Complete flap survival in all 15 patients.
- No surgical complications reported.
- Good to excellent surgical results rated by both patients and surgeons.
Conclusions:
- The axial frontonasal flap is highly recommended for nasal tip reconstruction.
- Effective for defects measuring ≥ 1.4 cm in diameter.
- Provides satisfactory aesthetic and functional restoration.

