Related Experiment Video
Updated: Nov 20, 2025
06:13
Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
17.3K
Nasalis-Based V to Y Flap Versus the Bilobed Flap
Kyle Flores1, Catherine A Degesys, Elaine Kearney
1All authors are affiliated with the Department of Dermatology, University of North Carolina School of Medicine, Chapel Hill, North Carolina.
Summary
The nasalis-based V to Y (NBVY) flap and the bilobed flap offer similar scar outcomes for nasal reconstruction. However, NBVY flaps are smaller, more cost-effective, and provide better cosmetic results on sebaceous noses.
Area of Science:
- Plastic Surgery
- Dermatologic Surgery
- Reconstructive Surgery
Background:
- Nasal reconstruction presents unique challenges.
- Bilobed transposition flaps and nasalis-based V to Y (NBVY) flaps are viable options.
- Each flap technique has distinct benefits and drawbacks.
Purpose of the Study:
- To compare bilobed and NBVY flaps.
- Evaluate scar appearance, complications, revision rates, flap size, and cost.
- Determine optimal flap choice for nasal defect repair.
Main Methods:
- Retrospective review of 95 nasal reconstructions (2010-2018).
- Defects repaired using either bilobed or NBVY flaps.
- Scar assessment by 11 reviewers using a visual analog scale.
Main Results:
- No significant differences in scar appearance, complications, or revision rates.
- NBVY flaps were 50% smaller than bilobed flaps.
- NBVY flaps showed better cosmetic outcomes on sebaceous noses and lower billing codes.
Conclusions:
- Bilobed and NBVY flaps yield comparable scar appearances.
- NBVY flaps offer advantages in size, cost, and cosmetic results for specific nasal areas.
- NBVY flaps are a potentially superior option for certain nasal reconstructions.
More Related Videos
Related Concept Videos
01:29Suctioning the Nasopharyngeal Airway
1.9K
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
1.9K
01:24Nose and Nasal Cavity
7.5K
The nose is composed of an observable exterior segment (external nose) and an internal segment within the skull known as the nasal cavity (internal nose). The external nose, visible on the face, consists of a framework of bone and hyaline cartilage enveloped in skin and muscle and lined with a mucous membrane. This structure is supported by the frontal bone, nasal bones, and maxillary bone and is supplemented by a cartilaginous framework comprising the septal nasal cartilage, lateral nasal...
7.5K