The use of an abdominal pedicle flap in reconstructing nasal tip avulsion.
Numerous flaps are available for reconstruction of the nose. However, most all of these utilize local or adjacent tissue which can result in moderate facial mutilation and scarring. The abdominal pedicle-radial artery-nose transfer flap has been previously described by Kilner and Chitrov. Both procedures somewhat compromise the final outcome and thus only portions of each were used in the design of this flap. The size of the flap was determined by doubling the width of the base of the nose and doubling the estimated length of the nose and tubing it. After staged transfer from abdomen to wrist to remaining nose, the distal end is defatted and cut into a three lobed flap for sculpturing the nasal tip and columella.
D000005:Abdomen; D000328:Adult; D006801:Humans; D008297:Male; D009666:Nose / Q000293:injuries / Q000601:surgery*; D012225:Rhinoplasty / Q000379:methods; D013524:Surgical Flaps