Refinements of nasalis myocutaneous flap.
During the last 3 years, we have applied the nasalis myocutaneous island flap for reconstruction of nasal defects following excision of skin basal cell carcinoma and melanoma in 19 patients. By refinements with Z plasty, early dermabrasion, and placement of a bolster, we could minimize the trapdoor deformity, obvious scars, and blunting of the alar groove. No patients required revisional surgery, and flap survival was 100%. On the basis of our experience, the nasalis myocutaneous island flap is the solution for reconstruction of moderate-sized distal nasal defects in terms of reliability, aesthetics, and simplicity.
Wee
S S
SS
Division of Plastic Surgery, Washington University School of Medicine, St. Louis, MO 63110.
Hruza
G J
GJ
Mustoe
T A
TA
D000328:Adult; D000368:Aged; D002280:Basal Cell Carcinoma / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008545:Melanoma / Q000601:surgery*; D008875:Middle Aged; D009132:Muscles / Q000637:transplantation*; D009667:Nose Deformities, Acquired / Q000209:etiology / Q000601:surgery*; D009669:Nose Neoplasms / Q000601:surgery*; D016038:Skin Transplantation / Q000379:methods*; D013524:Surgical Flaps; D014945:Wound Healing