Multi-Subunit Repair With the Nasolabial Burow's Advancement Flap

Area of Science:

• Plastic Surgery
• Reconstructive Surgery

Background:

• Nasal sidewall defects often require complex reconstruction.
• Multi-subunit defects pose significant reconstructive challenges.

Purpose of the Study:

• To describe and evaluate the efficacy of nasolabial Burow's advancement flaps for repairing extensive nasal sidewall defects.
• To assess the aesthetic and functional outcomes of this reconstructive technique.

Main Methods:

• Retrospective single-center study analyzing 336 patients.
• Evaluation of 6-month postoperative photographs using the Manchester Scar scale.
• Detailed description of the nasolabial Burow's advancement flap technique.

Main Results:

• The nasolabial Burow's advancement flap successfully repaired multi-subunit nasal sidewall defects.
• Median Manchester Scar scale score was 7 for both sidewall and multi-subunit defects.
• Low rates of postoperative infection and necrosis were observed.

Conclusions:

• Nasolabial Burow's advancement flaps are a suitable single-flap solution for large nasal sidewall defects involving multiple subunits.
• The technique provides high-level aesthetic and functional results when performed correctly.
• This method avoids the need for additional reconstructive flaps.