title: [Reconstructive techniques in cutaneous defects of the nasal tip].
abstract: Many techniques are used for repairing nasal tip defects. Our own guidelines are reviewed: Small defects often can be closed directly. Lesions of the nasal tip over 0.5 cm in diameter usually require a skin graft or flap. Postauricular, preauricular, and nasolabial full-thickness skin grafts may produce noticeable color or contour differences. The type of local skin flap used depends on defect size: Local rotation-transposition flaps or the nasalis myocutaneous sliding flap described by Rybka are used for defects 2 cm or less in diameter. Rieger and de Marchac frontonasal flaps are used for defects 2-3.5 cm in diameter. Forehead flaps are used for defects of 3.5 cm or more. We prefer Rybka's flap for nasal tip defects less of 2 cm because it has cosmetic advantages: incisions do not deform natural cutaneous crease lines and chronic edema and "dog ears" secondary to rotation-transposition pedicle flaps are avoided. For more extensive defects, we prefer frontonasal or forehead flaps.
authors.affiliation: Servicio de Cirugía Plástica, Hospital Virgen del Camino, Pamplona.
authors.forename: C
authors.initials: C
authors.lastname: Colas San Juan
authors.forename: F J
authors.initials: FJ
authors.lastname: Escudero Nafs
authors.forename: J
authors.initials: J
authors.lastname: Castro Morrondo
authors.forename: M
authors.initials: M
authors.lastname: Pérez-Montejano Sierra
authors.forename: J A
authors.initials: JA
authors.lastname: Lozano Orella
mesh_terms: D002277:Carcinoma / Q000473:pathology / Q000601:surgery*; D006801:Humans; D009666:Nose / Q000473:pathology / Q000601:surgery*; D009669:Nose Neoplasms / Q000473:pathology / Q000601:surgery*; D013518:Surgery, Plastic; D013524:Surgical Flaps; D014182:Transplantation, Autologous
vernacular_title: Técnicas reconstructivas de los defectos cutáneos de la punta nasal.