title: Nasal downward swing approach coupled with the facial dismasking flap.
abstract: OBJECTIVE
  For the purpose of an en bloc resection with sufficient margins, a wide surgical field is necessary. We have reported on the application of a facial dismasking flap for removals of craniofacial lesions in order to provide a better surgical field with less morbidity. In this paper, we are introducing a new method, which is called the "nasal downward swing approach".
  
  
  METHODS
  This approach is a modification of the facial dismaking flap, which elevates the nasal bone along with the facial skin.
  
  
  RESULTS
  This approach offers an extremely wide surgical field on the facial front, especially the nasal cavity, while keeping scarring or facial paresis down to a bare minimum.
  
  
  CONCLUSIONS
  This approach helps to preserve the entire shape of the nasal bone in particular, therefore, a good surgical option for pediatric patients.
authors.affiliation: Department of Head and Neck surgery, Tokyo Medical and Dental University, Tokyo, Japan.
authors.forename: Seiji
authors.initials: S
authors.lastname: Kishimoto
authors.forename: Atsunobu
authors.initials: A
authors.lastname: Tsunoda
authors.forename: Hiroko
authors.initials: H
authors.lastname: Koda
mesh_terms: D002648:Child; D004954:Esthetics; D005158:Facial Paralysis / Q000517:prevention & control; D005260:Female; D006222:Hamartoma / Q000601:surgery*; D006801:Humans; D009296:Nasal Cavity / Q000601:surgery*; D009667:Nose Deformities, Acquired / Q000517:prevention & control; D009668:Nose Diseases / Q000601:surgery*; D010039:Otorhinolaryngologic Neoplasms / Q000601:surgery*; D011183:Postoperative Complications / Q000517:prevention & control*; D019291:Skull Base / Q000601:surgery*; D013524:Surgical Flaps; D020858:Tissue and Organ Harvesting / Q000379:methods*