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Nasal Dorsum Rotation-Transposition Flap Associated with Guitar-String Sutures: One-Stage Reconstruction of Large
Javier Antoñanzas1, Alejandra Tomás-Velázquez1, Rafael Salido-Vallejo1
1Department of Dermatology, University Clinic of Navarra, 31008 Pamplona, Spain.
Journal of Clinical Medicine
|April 9, 2024
Summary
This study introduces a modified dorsal nasal flap technique for reconstructing large nasal defects. The rotation-transposition flap with an added lobe offers a reliable, single-stage solution with excellent cosmetic and functional outcomes.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Otolaryngology
Background:
- Local flaps are preferred for small-to-medium nasal defects.
- The dorsal nasal (Rieger) flap is effective for medium, wider-than-tall defects.
- A modified rotation-transposition dorsal nasal flap is presented for large nasal defects.
Purpose of the Study:
- To describe a novel rotation-transposition dorsal nasal flap technique for large nasal defects.
- To evaluate the efficacy and outcomes of this modified flap in nasal reconstruction.
Main Methods:
- Retrospective chart review of patients undergoing nasal dorsum rotation-transposition flap repair.
- Study period: January 2019 to November 2022 at a single academic center.
- Inclusion criteria: Large nasal defects (>20 mm).
Main Results:
- Fourteen patients (8 male, 6 female; ages 47-83) with defects (20-35 mm) on the nasal dorsum and tip were included.
- Follow-up ranged from 12 months to 3 years.
- All cases demonstrated good or excellent oncologic and cosmetic results.
Conclusions:
- The rotation-transposition dorsal nasal flap is a reproducible, one-stage technique for large nasal defects.
- This method offers minimal risk of aesthetic or functional complications.
- Guitar-string sutures aid in defect size reduction and flap design.
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