title: A new flap for reliable nasal reconstruction.
abstract: OBJECTIVE
  In this article, we describe a new flap for use in lower nasal reconstruction.
  
  
  METHODS
  This technique consists of a planned heminasal transposition rotation flap, with both laterally based and glabellar components. Esthetically favourable incisions are made to follow at the junction between the esthetic subunits.
  
  
  RESULTS
  Gratifying early results are achievable, resulting in little postoperative edema due to maintenance of laterally based lymphatic and venous outflow. Likewise, pleasing long-term outcomes have been noted in each of the ten patients in whom we have utilized this flap for nasal reconstruction. Complete flap survival has been noted in every patients.
  
  
  CONCLUSIONS
  Our experience with the use of this flap technique suggests that it provides consistently rewarding, esthetically pleasing results in patients with cutaneous defects of the lower half of the nose.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, University of Texas SouthWestern Medical Center, Dallas, USA.
authors.forename: Y
authors.initials: Y
authors.lastname: Ducic
authors.forename: P A
authors.initials: PA
authors.lastname: Hilger
authors.forename: K
authors.initials: K
authors.lastname: Waters
mesh_terms: D004487:Edema / Q000517:prevention & control; D004954:Esthetics; D006085:Graft Survival; D006801:Humans; D008209:Lymphedema / Q000517:prevention & control; D009666:Nose / Q000601:surgery*; D009668:Nose Diseases / Q000517:prevention & control; D011183:Postoperative Complications / Q000517:prevention & control; D012039:Regional Blood Flow / Q000502:physiology; D012399:Rotation; D016038:Skin Transplantation / Q000379:methods* / Q000473:pathology; D013524:Surgical Flaps / Q000098:blood supply / Q000473:pathology; D016896:Treatment Outcome