TY - JOUR
T1 - The nasofacial interpolated flap in reconstruction of the nasal ala
AU - Barlow, R. J.
AU - Swanson, N. A.
PY - 1997
Y1 - 1997
N2 - Background: Skin cancer frequently involves the nasal alae, the surgical reconstruction of which may be challenging if their margins, contours, and surface texture are to be preserved. Objective: Our purpose was to describe our experience with a nasofacial interpolated flap in which a temporary bridging pedicle is used to transpose skin from the nasofacial and melolabial sulci to an alar defect. Methods: The nasofacial interpolated flap was used in eight patients to reconstruct partial- thickness alar wounds after excision of a basal cell carcinoma. Results: The functional and cosmetic outcome was excellent in five patients and is likely to be good in two others who had postoperative fullness of the flap inset. A poor result was seen in one patient, a heavy smoker, who healed with an atrophic scar at the margin of the primary defect. Conclusion: In alar wounds for which a full-thickness skin graft would provide inadequate bulk, the nasofacial interpolated flap transposes skin of excellent color and textural match without blunting the nasofacial sulcus or the alar groove.
AB - Background: Skin cancer frequently involves the nasal alae, the surgical reconstruction of which may be challenging if their margins, contours, and surface texture are to be preserved. Objective: Our purpose was to describe our experience with a nasofacial interpolated flap in which a temporary bridging pedicle is used to transpose skin from the nasofacial and melolabial sulci to an alar defect. Methods: The nasofacial interpolated flap was used in eight patients to reconstruct partial- thickness alar wounds after excision of a basal cell carcinoma. Results: The functional and cosmetic outcome was excellent in five patients and is likely to be good in two others who had postoperative fullness of the flap inset. A poor result was seen in one patient, a heavy smoker, who healed with an atrophic scar at the margin of the primary defect. Conclusion: In alar wounds for which a full-thickness skin graft would provide inadequate bulk, the nasofacial interpolated flap transposes skin of excellent color and textural match without blunting the nasofacial sulcus or the alar groove.
UR - http://www.scopus.com/inward/record.url?scp=0031005458&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0031005458&partnerID=8YFLogxK
U2 - 10.1016/S0190-9622(97)80282-4
DO - 10.1016/S0190-9622(97)80282-4
M3 - Article
C2 - 9204064
AN - SCOPUS:0031005458
SN - 0190-9622
VL - 36
SP - 965
EP - 969
JO - Journal of the American Academy of Dermatology
JF - Journal of the American Academy of Dermatology
IS - 6 I
ER -