title: [Schmid-Meyer fronto-temporal flap for nasal reconstruction].
abstract: BACKGROUND
  Many surgical techniques have already been described to repair full thickness defects of the inferior part of the nose. The Schmid-Meyer fronto-temporal flap procedure, a little known technique, is based on the old principle of autonomization of a cutaneous flap and uses a tailor-made composite cartilaginous graft placed in the temporal region. This graft is progressively detached and allows mucosal/cartilaginous/and cutaneous nasal repair. Can this technique still be used for nasal full-thickness reconstruction?
  
  
  METHODS
  Nine cases of nasal reconstruction using this procedure were performed. The 4-steps of the operative technique were described and the results were analyzed retrospectively.
  
  
  RESULTS
  This procedure allows, for some specific indications, excellent reconstruction of the ala, the columella or the nasal tip. In eight cases out of nine, the result was judged good or very good by both patients and physicians. In 78%, the reconstruction was performed under local anesthesia.
  
  
  CONCLUSIONS
  The Schmid-Meyer flap procedure may still be used for full-thickness reconstruction of the lower third of the nose because it allows a high quality of nasal reconstruction and few scar sequels.
authors.affiliation: Service de chirurgie plastique, reconstructrice et esthétique, CHU d'Angers, 4, rue Larrey, 49933 Angers cedex 9, France. dr.daniel.arnaud@gmail.com
authors.forename: D
authors.initials: D
authors.lastname: Arnaud
authors.forename: B
authors.initials: B
authors.lastname: Potier
authors.forename: C
authors.initials: C
authors.lastname: Jeufroy
authors.forename: V
authors.initials: V
authors.lastname: Darsonval
authors.forename: P
authors.initials: P
authors.lastname: Rousseau
mesh_terms: D000368:Aged; D004425:Ear Cartilage / Q000637:transplantation*; D004954:Esthetics; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D055171:Nasal Cartilages / Q000601:surgery; D009666:Nose / Q000293:injuries / Q000601:surgery*; D009669:Nose Neoplasms / Q000601:surgery; D017060:Patient Satisfaction; D012189:Retrospective Studies; D012225:Rhinoplasty / Q000379:methods*; D016038:Skin Transplantation / Q000145:classification*; D013524:Surgical Flaps / Q000145:classification* / Q000473:pathology / Q000637:transplantation; D016896:Treatment Outcome; D055815:Young Adult