title: Interpolated subcutaneous fat pedicle melolabial flap for large nasal lining defects.
abstract: Full-thickness nasal deformities are a reconstructive challenge. Restoration of a reliable internal lining is critical for a successful reconstruction. Septal hinge flaps are the workhorse for internal lining defects. However, these and other intranasal mucosal flaps are sometimes unavailable due to prior harvest or previous oncologic resection. We present the two-stage interpolated subcutaneous fat pedicle melolabial flap for lining large defects when traditional intranasal flaps are unavailable. This approach is particularly useful when one forehead flap has already been expended, preserving the patient's remaining forehead tissue for external cover.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, University of Michigan Health System, Ann Arbor, Michigan 48109, USA. gargriff@med.umich.edu
authors.forename: Garrett R
authors.initials: GR
authors.lastname: Griffin
authors.forename: Douglas B
authors.initials: DB
authors.lastname: Chepeha
authors.forename: Jeffrey S
authors.initials: JS
authors.lastname: Moyer
mesh_terms: D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D004954:Esthetics; D005542:Forearm / Q000601:surgery; D005546:Forehead / Q000601:surgery; D006801:Humans; D008297:Male; D010255:Paranasal Sinus Neoplasms / Q000601:surgery*; D012225:Rhinoplasty / Q000379:methods*; D013524:Surgical Flaps