Abstract
Reconstruction of defects in the midface near the nasolabial fold or the inner canthus of the eye can be a challenge for plastic surgeons. Many methods such as skin grafting and skin flaps have been proposed for reconstruction of these defects. This report presents the results of using a contralateral nasolabial flap with a pedicle containing the lateral nasal branch of the angular artery. A flap with a pedicle approximately 10 mm wide was transferred to the opposite side through a tunnel at the nasion near the inner canthus for reconstruction of defects with surface areas ranging from 5.3 to 31.0 cm2 and depths ranging 2.2–6.5 mm. Since 2008, with careful design, eight patients with skin tumor excisions have obtained effective functional and aesthetic results. This method is a suitable surgical procedure for reconstruction of moderate to wide side defects in the special midface area of the nasal sidewall toward the medial canthus.
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References
Teltzrow T, Arens A, Schwipper V (2011) One-stage reconstruction of nasal defects: evaluation of the use of modified auricular composite grafts. Facial Plast Surg 27:243
Fader DJ, Wang TS, Johnson TM (2002) The Z-plasty transposition flap for reconstruction of the middle cheek. J Am Acad Dermatol 46:738
Hu SD, Zhang HM, Zhao CP, Feng YJ, Yang Y, Han X, Zhuang HX (2007) The design and transposition principles of expanded flap for treatment of cheek skin-soft tissue defect. Zhonghua Zheng Xing Wai Ke ZA Zhi 23:8
Lunatschek C, Schwipper V, Scheithauer M (2011) Soft tissue reconstruction of the nose. Facial Plast Surg 27:249
Moscatiello F, Carrera A, Tirone L, Piombino P, Herrero J, Califano L (2011) Distally based dorsal nasal flap in nasal ala reconstruction: anatomic study and clinical experience. Dermatol Surg 37:825
Childers BJ, Hendricks DL (1997) Nasolabial fasciocutaneous free flap for cheek defects. J Reconstr Microsurg 13:515
Eckardt AM, Kokemüller H, Tavassol F, Gellrich NC (2011) Reconstruction of oral mucosal defects using the nasolabial flap: clinical experience with 22 patients. Head Neck Oncol 23:28
Furnas DW, Furnas H (1983) Angular artery flap for total reconstruction of the lower eyelid. Ann Plast Surg 10:322
Turan A, Kul Z, Türkaslan T, Ozyiğit T, Ozsoy Z (2007) Reconstruction of lower half defects of the nose with the lateral nasal artery pedicle nasolabial island flap. Plast Recostruc Surg 119:1767
Fabrizio T, Savani A, Sanna M, Biazzi M, Tunesi G (1996) The retroangular flap for nasal reconstruction. Plast Reconstr Surg 97:431
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Zhang, Y., Wu, H.L. & Lu, Y.M. Contralateral Nasolabial Flap for Reconstruction of Midface Defects. Aesth Plast Surg 36, 1175–1178 (2012). https://doi.org/10.1007/s00266-012-9943-9
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DOI: https://doi.org/10.1007/s00266-012-9943-9