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Single-stage Nasal Ala Repair Using a Rotated Pedicle Flap
Jay M Patel1, Jason C Klein1, Jesalyn Tate1
1From the Department of Dermatology, University of Texas Southwestern Medical Center, Dallas, TX.
Plastic and Reconstructive Surgery. Global Open
|July 21, 2025
Summary
Reconstructing the nasal ala is complex. This study presents a single-stage surgical technique using a specific flap to restore nasal shape and function effectively.
Area of Science:
- Plastic and reconstructive surgery
- Otolaryngology
- Dermatologic surgery
Background:
- Nasal ala reconstruction presents significant challenges.
- Maintaining 3D concavity, symmetry, and nasal valve patency is crucial.
- Full-thickness defects often necessitate complex, multi-stage repairs.
Purpose of the Study:
- To describe a novel single-stage technique for nasal ala reconstruction.
- To address the challenges of defect contour, symmetry, and function.
- To present an alternative to traditional staged procedures.
Main Methods:
- A subcutaneous pedicle advancement flap with 180-degree transposition was utilized.
- The technique was applied to full-thickness nasal ala defects.
- Single-stage repair was performed to reconstruct the ala.
Main Results:
- The described flap technique allows for single-stage reconstruction.
- This method addresses the aesthetic and functional demands of ala repair.
- Successful reconstruction was achieved in the described cases.
Conclusions:
- A subcutaneous pedicle advancement flap with transposition offers an effective single-stage solution for nasal ala reconstruction.
- This technique can achieve satisfactory cosmetic and functional outcomes.
- It provides a valuable alternative for managing full-thickness nasal ala defects.
