[Reversed vascular full-thickness nasolabial flap].
The author describes a vascular island full-thickness nasolabial flap, which is superior pedicled and is nourished by the distal portion of axial vessels, the facial artery and vein, by means of a reverse blood flow. When the vein is not available, a muscular pedicle can provide the venous drainage. This composite musculo-mucocutaneous flap was used in a single stage procedure for external cover and internal lining repair in 32 cases of full-thickness defect of the alar lobule (18 cases) or of the lower half of the nasal sidewall (14 cases). Some cases needed a secondary defatting (37.5 per cent). The final result was good in all cases, with minimal sequelae on the donor site.
Le-Quang
C
C
D001158:Arteries; D005145:Face / Q000098:blood supply; D005260:Female; D006801:Humans; D008297:Male; D009666:Nose / Q000601:surgery*; D009669:Nose Neoplasms / Q000601:surgery; D013524:Surgical Flaps; D014680:Veins
Le lambeau naso-génien de pleine épaisseur en îlot vasculaire à pédicule rétrograde.