Nasalis island pedicle flap in nasal ala reconstruction.
BACKGROUND
Defects of the nasal ala can be difficult to repair in a one-stage procedure. We describe a laterally based nasalis myocutaneous island pedicle flap to repair small but deep defects of the superior nasal ala.


OBJECTIVE
To describe a single-stage flap for repair of small defects on the nasal ala that confines the repair to one cosmetic unit.


METHODS
We discuss the anatomy of the flap and illustrate the method of placing the flap.


RESULTS
We present several case examples and discuss potential applications of the flap. We also discuss the flap's limitations by citing an example of necrosis.


CONCLUSIONS
The nasalis myocutaneous island pedicle flap for repair of nasal alar defects is a new application of a one-stage procedure that yields excellent functional and cosmetic results. Knowledge of the limitations and the anatomy of the flap is crucial for a good outcome.
Asgari
Maryam
M
Division of Dermatology, University of Washington Medical Center, Seattle, Washington 98105, USA. masgari@u.washington.edu
Odland
Peter
P
D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015580:Mohs Surgery; D009336:Necrosis; D009666:Nose / Q000473:pathology / Q000601:surgery*; D019651:Plastic Surgery Procedures; D013524:Surgical Flaps