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Reading Man Flap: A Nasal Reconstruction Technique
1From the Plastic, Reconstructive and Aesthetic Surgery, The Mutaf International Clinic, Bodrum/Muğla.
Annals of Plastic Surgery
|October 29, 2021
Summary
The Reading Man procedure offers a new solution for nasal skin defects after cancer removal. This technique provides tension-free closure with excellent cosmetic results and no recurrence, making it a valuable reconstructive option.
Area of Science:
- Plastic Surgery
- Dermatologic Surgery
- Reconstructive Surgery
Background:
- Nasal skin defect closure after skin neoplasm excision is a reconstructive challenge.
- The Reading Man procedure is presented as a novel alternative for nasal defect reconstruction.
Purpose of the Study:
- To evaluate the efficacy of the Reading Man procedure for closing nasal skin defects.
- To assess cosmetic outcomes and complications associated with this technique.
Main Methods:
- The Reading Man procedure utilizes two local flaps designed in an unequal Z-plasty.
- The first flap covers the defect, and the second closes the donor site.
- The technique was applied to 28 patients with nasal defects ranging from 1.5 to 3.1 cm.
Main Results:
- All 28 patients achieved tension-free, single-stage closure without complications.
- No instances of dog ear formation or distortion of mobile nasal structures were observed.
- A mean follow-up of 52 months showed satisfactory cosmetic results and no tumor recurrence.
Conclusions:
- The Reading Man procedure is an effective alternative for nasal skin defects, leveraging unequal Z-plasty for tissue relaxation.
- This method avoids excising healthy tissue and prevents dog ear formation and structural distortion.
- The technique offers excellent cosmetic outcomes and is a valuable option for nasal reconstruction.
