title: The aesthetic unit dorsal nasal flap: rationale for avoiding a glabellar incision.
abstract: The dorsal nasal flap was first introduced by Rieger in 1967. Since that time, it has proven reliable in the coverage of dorsal nasal soft-tissue defects; however, the glabellar component of the flap can leave a conspicuous scar and/or a contracture band. The authors present their experience with 48 patients who had an aesthetic unit dorsal nasal flap and their technique of incisional interface resurfacing, which obviates the need for the glabellar component. Objective independent assessment of the outcomes revealed overall excellent results, with no flap loss, hematoma, or dehiscence. Two cases of contour deformity were noted in male patients with preexisting rhinophyma in the area of the reconstruction. These design modifications enhance the aesthetic result and simplify the use of this flap in dorsal nasal reconstruction.
authors.affiliation: Department of Plastic and Reconstructive Surgery, University of Texas Southwestern Medical Center, Dallas 75235-9132, USA. rrohri@mednet.swmed.edu
authors.forename: R J
authors.initials: RJ
authors.lastname: Rohrich
authors.forename: A R
authors.initials: AR
authors.lastname: Muzaffar
authors.forename: W P
authors.initials: WP
authors.lastname: Adams
authors.forename: L H
authors.initials: LH
authors.lastname: Hollier
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004954:Esthetics; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009669:Nose Neoplasms / Q000601:surgery; D012189:Retrospective Studies; D012225:Rhinoplasty / Q000379:methods*; D013524:Surgical Flaps