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The modified horn flap for nasal tip reconstruction
Parthena I Deskoulidi1, Russell Aldred1
1Department of Plastic and Reconstructive Surgery, St. Vincent's Hospital, 390 Victoria St, Darlinghurst, Sydney, NSW 2010, Australia.
JPRAS Open
|May 24, 2021
Summary
The modified horn flap offers a reliable, single-stage solution for nasal tip reconstruction after skin cancer removal. This technique utilizes local nasal tissues for successful functional and aesthetic outcomes.
Area of Science:
- Plastic Surgery
- Dermatologic Surgery
- Reconstructive Surgery
Background:
- Nasal tip reconstruction presents challenges in achieving optimal aesthetic and functional results.
- Various flap designs exist, but a preferred method for specific defect sizes remains crucial.
Purpose of the Study:
- To evaluate the modified horn flap as a reliable technique for nasal tip reconstruction.
- To assess the functional and aesthetic outcomes of this one-stage surgical approach.
Main Methods:
- The study focuses on the modified horn flap, utilizing the superior alar artery and nasalis muscle.
- This island flap is designed for defects of 1-2 cm vertically and 1.5-3 cm horizontally.
- The procedure is performed as a single-stage operation.
Main Results:
- The modified horn flap provides a versatile and reliable method for nasal tip reconstruction.
- Successful functional and aesthetic results were achieved in defects of the specified sizes.
- Flap survival is significantly supported by the superior alar artery and nasalis muscle.
Conclusions:
- The modified horn flap is an effective and innovative technique for nasal tip reconstruction.
- It offers a one-stage solution with excellent outcomes for moderate-sized defects post-skin cancer excision.
- The flap's vascular supply from the superior alar artery is key to its success.
