title: Crescentic nasojugal flap for nasal tip reconstruction.
abstract: BACKGROUND
  Carcinomas of the tip of the nose are very common, and the nasal tip defect is one of the most challenging subunit to reconstruct. There are numerous available procedures for the reconstruction of the tip of the nose. We have developed a flap for the management of a tissue loss from the tip of the nose and report the use of this flap for 11 patients.
  
  
  OBJECTIVE
  The purpose of this presentation is to report a refinement of a nasojugal flap for the reconstruction of a nasal tip defect. The flap we describe has the characteristic of excising the dog-ear, created by the movement of the flap, in a crescent shape of skin in the perialar area, allowing the mobilization of the skin of the lateral surface of the nose and cheek.
  
  
  METHODS
  Eleven patients presenting tissue loss from the tip of the nose after excision of carcinoma underwent surgery using the flap.
  
  
  RESULTS
  The flap described constitutes a good alternative for reconstruction of nasal tip defect, up to 2 cm of diameter, with excellent aesthetic results.
  
  
  CONCLUSIONS
  Numerous flap options are available to reconstruct tissue loss from the tip of the nose. The nasojugal flap we describe, due to its great reliability, yields excellent functional and cosmetic results, and we believe that it is a valuable alternative to other techniques of reconstruction for defect of the nasal tip. For the 11 patients who underwent surgery with this flap, no major complication was reported. The aesthetic result was never compromised, and the scars result was very satisfactory.
authors.affiliation: Service de Dermatologie du Professeur Louis Dubertret, Hôpital Saint-Louis, Paris, France. jsmadja@gmail.com
authors.forename: Jack
authors.initials: J
authors.lastname: Smadja
mesh_terms: D000368:Aged; D002280:Basal Cell Carcinoma / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009669:Nose Neoplasms / Q000601:surgery*; D012225:Rhinoplasty / Q000379:methods*; D012878:Skin Neoplasms / Q000601:surgery*; D013524:Surgical Flaps