title: Use of the "spiral" flap for closure of small defects of the nasal ala.
abstract: BACKGROUND
  Multiple wound closure options exist for cutaneous defects of the nasal ala. The best option depends on the depth, size, and location of the defect.
  
  
  OBJECTIVE
  To demonstrate a modification of the traditional rotation flap for closure of small alar defects.
  
  
  METHODS
  The design and execution of the "spiral" flap for closure of a representative defect are described.
  
  
  RESULTS
  Immediate and delayed postoperative views demonstrate expected outcome.
  
  
  CONCLUSIONS
  The spiral flap modification of the rotation flap is a simple and elegant closure option for small nasal alar defects.
authors: Department of Dermatology, Division of Cutaneous Surgery, Thomas Jefferson University, Philadelphia, PA 19107, USA. tatyana.humphreys@mail.tju.edu
authors: T R
authors: TR
authors: Humphreys
mesh_terms: D006801:Humans; D015580:Mohs Surgery / Q000534:rehabilitation*; D009666:Nose / Q000601:surgery*; D009669:Nose Neoplasms / Q000601:surgery*; D012878:Skin Neoplasms / Q000601:surgery*; D013524:Surgical Flaps