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The nasal glabellar flap

D M Fliss¹, J L Freeman

¹Department of Otolaryngology, Mount Sinai Hospital, University of Toronto, Ontario.

The Journal of Otolaryngology

|February 1, 1994

Summary

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Reconstructing nasal defects is complex due to unique skin characteristics. The nasal glabellar rotation flap offers a safe, effective solution for nasal reconstruction, matching skin color and texture.

Area of Science:

Plastic Surgery
Otolaryngology
Dermatologic Surgery

Background:

Nasal reconstruction is challenging due to complex aesthetics and limited local tissue.
Previous methods like skin grafts and local flaps have limitations.
Cancer-ablative procedures often result in significant nasal defects requiring reconstruction.

Purpose of the Study:

To present the nasal glabellar rotation flap as a preferred technique for nasal reconstruction.
To highlight the advantages of the nasal glabellar rotation flap for specific nasal defects.
To detail the surgical technique for developing the nasal glabellar rotation flap.

Main Methods:

Review of reconstructive modalities for nasal defects.
Description of the nasal glabellar rotation flap technique, originally by Gillies and modified by Reiger.

Related Experiment Videos

Focus on flap characteristics, donor site considerations, and suitability for dorsal and lateral nasal resurfacing.

Main Results:

The nasal glabellar rotation flap provides excellent aesthetic match in color, thickness, and contour.
It is a safe procedure with minimal donor site morbidity.
The flap is particularly well-suited for resurfacing dorsal and lateral nasal defects.

Conclusions:

The nasal glabellar rotation flap is an effective and reliable option for nasal reconstruction.
Its ability to match local nasal skin characteristics makes it a superior choice for many defects.
The technique is presented for its application in challenging nasal reconstructions.