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Summary
The V-Y rotational nasal flap effectively repairs lower nose defects up to 2.5 cm. This single-stage procedure offers superior cosmetic results compared to skin grafts, minimizing scarring and color mismatch.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Facial Reconstruction
Background:
- Nasal defects, particularly in the lower third, pose reconstructive challenges.
- Traditional methods like skin grafts can result in visible scarring and color discrepancies.
Purpose of the Study:
- To evaluate the efficacy of the V-Y rotational nasal flap for nasal defect repair.
- To assess the cosmetic outcomes and patient satisfaction with this technique.
Main Methods:
- A retrospective review of 17 patients undergoing V-Y rotational nasal flap reconstruction.
- The flap is designed with a rotation base on the nasal side and a glabellar extension.
Main Results:
- The V-Y flap successfully repaired defects ranging from 1 to 2.5 cm.
- The procedure yielded nearly invisible scars, with no significant depression or color mismatch.
- All 17 patients were treated in a single stage.
Conclusions:
- The V-Y rotational nasal flap is a reliable and effective one-stage procedure for lower nasal third defects.
- It provides superior aesthetic outcomes compared to skin grafting, with minimal scarring and excellent color concordance.