Download PDF
CC BY-NC 4.0 · Arch Plast Surg 2020; 47(01): 102-105
DOI: 10.5999/aps.2019.01193
Idea and Innovation

Lateral nasal advancement flap for reconstruction of the nasal sidewall and dorsum

Yutaka Ogawa 
Department of Plastic and Reconstructive Surgery, Kansai Medical University, Osaka, Japan
,
Yasuko Ogawa 
Division of Dermatology, Ogawa Skin Clinic, Kyoto, Japan
› Author Affiliations
› Further Information
   Permissions and Reprints

Malignant skin tumors and precancerous lesions have a predilection to be located in the nasal dorsum or sidewall. Although invasive reconstructions have been presented, no simple and suitable method has yet been reported for this area. The flap presented herein, named the lateral nasal advancement flap, is designed on the adjacent lateral region of the sidewall or nasal dorsum and advanced in the medial direction. Two Burow’s triangles are removed in the upper and lower portions of the flap: the upper triangle along the nasofacial sulcus and the lower triangle along the nasofacial sulcus and/or the alar groove. Excellent results were obtained in the two clinical cases described in this report. Neither a trap door deformity nor dog-ears developed in either case. The postsurgical scars followed the aesthetic lines and became inconspicuous. A distinct angle was formed in the nasofacial sulcus without anchor sutures. This surgical procedure is technically simple and is performed under local anesthesia. Although the flap is a cheek-based advancement flap, postsurgical scars do not remain in the cheek; instead, they are located in the nasofacial sulcus and alar groove. The lateral nasal advancement flap is recommended for reconstruction of the nasal sidewall and dorsum.

Keywords

Lateral nasal advancement flap - Nasal sidewall reconstruction - Nasal dorsum reconstruction


Publication History

Received: 05 September 2019

Accepted: 22 October 2019

Article published online:
25 March 2022

© 2020. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

  • REFERENCES

  • 1 Marchac D, Toth B. The axial frontonasal flap revisited. Plast Reconstr Surg 1985; 76: 686-94
    CrossrefPubMedGoogle Scholar
  • 2 Rintala AE, Asko-Seljavaara S. Reconstruction of midline skin defects of the nose. Scand J Plast Reconstr Surg 1969; 3: 105-8
    PubMedGoogle Scholar
  • 3 Ogawa Y, Takemoto T, Suzuki K. et al. Application of the lateral orbital flap to reconstruction of the upper and lower eyelids and the eye socket after enucleation. Ann Plast Surg 2011; 66: 360-3
    CrossrefPubMedGoogle Scholar
  • 4 Rossi M, Milia A, Carmisciano M. et al. Advancement perforator cheek flap for aesthetic one-stage reconstruction of postoncological extended split-thickness defects of the nasal sidewall. ScientificWorldJournal 2013; 2013: 169208
    PubMedGoogle Scholar