title: Aesthetic modification to the rintala flap: a case series.
abstract: BACKGROUND
  Defects of the nasal dorsum have historically been repaired based on size and with respect to subunit principle. This case series provides a previously undescribed option for correcting defects of the nasal dorsum 1.5-2.5 cm in size. The foremost advantages of this technique are preservation of nasal subunit integrity and the integration of subtle nasal tip rotation.
  
  
  METHODS
  We present a case series involving five consecutive patients aged 49-74 after Mohs excision for malignancies of the nasal dorsum. Defects were corrected using the aesthetic modification to the Rintala flap over a 10-year period by two primary surgeons.
  
  
  CONCLUSIONS
  The aesthetic modification to the Rintala flap should be considered as a reconstruction option for patients with defects of the nasal dorsum between 1.5 and 2.5 cm in size, especially for those patients desiring rotation of the nasal tip.
  
  
  METHODS
  This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
authors.affiliation: Department of Otolaryngology, Head and Neck Surgery, Emory University, Atlanta, GA, 30322, USA, kmotame@emory.edu.
authors.forename: Kevin K
authors.initials: KK
authors.lastname: Motamedi
authors.forename: Shivan H
authors.initials: SH
authors.lastname: Amin
authors.forename: Louis M
authors.initials: LM
authors.lastname: DeJoseph
authors.forename: William E
authors.initials: WE
authors.lastname: Silver
mesh_terms: D000368:Aged; D002280:Basal Cell Carcinoma / Q000473:pathology / Q000601:surgery*; D004954:Esthetics; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D015580:Mohs Surgery / Q000379:methods*; D009666:Nose / Q000601:surgery*; D012189:Retrospective Studies; D012494:Sampling Studies; D012878:Skin Neoplasms / Q000473:pathology / Q000601:surgery*; D016038:Skin Transplantation / Q000379:methods; D013524:Surgical Flaps / Q000098:blood supply*; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology