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Related Experiment Videos

The nasolabial flap: a problem and its correction

M D Walkinshaw, H H Caffee

    Plastic and Reconstructive Surgery
    |January 1, 1982
    PubMed
    Summary
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    The trapdoor phenomenon after nasal skin cancer surgery can be fixed. Revising the flap with a skin graft improves cosmetic results in older men.

    Area of Science:

    • Dermatologic Surgery
    • Plastic Surgery
    • Oncology

    Background:

    • Nasolabial flaps are common for nasal defect closure after skin cancer excision.
    • Older male patients with thick nasal skin are prone to the trapdoor phenomenon after flap closure.
    • The trapdoor phenomenon results in a bulky, unsightly nasal mass.

    Purpose of the Study:

    • To present a revised surgical technique for managing the trapdoor phenomenon in nasal reconstruction.
    • To offer an alternative to simple flap elevation and thinning.

    Main Methods:

    • Excision of redundant skin and subcutaneous tissue from the elevated flap.
    • Resurfacing the prepared base with a full-thickness postauricular skin graft.

    Main Results:

    Related Experiment Videos

    • Successful correction of the bulky, unsightly mass caused by the trapdoor phenomenon.
    • Creation of a graftable base for improved aesthetic outcome.

    Conclusions:

    • This revision technique, involving secondary excision and skin grafting, is superior to simple flap modification for correcting the nasal trapdoor phenomenon.
    • Offers a reliable method for improving cosmetic results in specific patient populations.