Skip to main content
SpringerLink
Log in

The Use of a Combined Local Flap for Reconstructing a Complex Nasal Defect

  • Surgical Techniques and Innovations
  • Published:
Indian Journal of Surgery Aims and scope Submit manuscript

Abstract

The main goals of reconstruction of nasal defects are to restore the topographic subunit outline, thereby maintaining the aesthetic three-dimensional facial contours and more importantly ensuring a patent airway. Wide excision of tumours of the external nose can at times result in complex defects causing significant facial disfigurement and this poses a significant reconstructive challenge. Nasal reconstruction with only micro-vascular free flaps can at times produce poor aesthetic outcomes as distant skin often appears as a mismatched patch within the surrounding normal facial skin. We describe a novel technique for external nose reconstruction using a combination two well described local flaps, superiorly based nasolabial flap alongside a paramedian forehead flap.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Austin GK, Shockley WW (2016) Reconstruction of nasal defects: contemporary approaches. Curr Opin Otolaryngol Head Neck Surg 24(5):453–460. https://doi.org/10.1097/MOO.0000000000000295

    Article  PubMed  PubMed Central  Google Scholar 

  2. Burget GC, Walton RL (2007) Optimal use of microvascular free flaps, cartilage grafts, and a paramedian forehead flap for aesthetic reconstruction of the nose and adjacent facial units. Plast Reconstr Surg 120(5):1171–1207. https://doi.org/10.1097/01.prs.0000254362.53706.91

    Article  PubMed  CAS  Google Scholar 

  3. Salgarelli AC, Bellini P, Multinu A, Magnoni C, Francomano M, Fantini F, Consolo U, Seidenari S (2011, 2011) Reconstruction of nasal skin cancer defects with local flaps. J Skin Cancer:181093

  4. Zelken JA, Chang CS, Reddy SK, Hsiao YC (2016) Double forehead flap reconstruction of composite nasal defects. J Plast Reconstr Aesthet Surg 69(9):1280–1284. https://doi.org/10.1016/j.bjps.2016.05.026

    Article  PubMed  Google Scholar 

  5. Weathers WM, Wolfswinkel EM, Nguyen H, Thornton JF (2013) Expanded uses for the nasolabial flap. Semin Plast Surg 27(02):104–109. https://doi.org/10.1055/s-0033-1351234

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Surgical Oncology, Cancer Institute (WIA), 38, Sardar Patel Rd, Adyar, Chennai, 600036, India

    Arvind Krishnamurthy

Authors
  1. Arvind Krishnamurthy
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Arvind Krishnamurthy.

Ethics declarations

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Issues

All procedures performed in this case report were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Appropriate informed consents have been obtained

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Krishnamurthy, A. The Use of a Combined Local Flap for Reconstructing a Complex Nasal Defect. Indian J Surg 80, 194–196 (2018). https://doi.org/10.1007/s12262-018-1733-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12262-018-1733-4

Keywords

Search

Navigation