Abstract
There are many options for reconstruction of the nasal sidewall. Generally, there is good laxity in the horizontal dimension for a linear closure which can be recruited from the cheek. However, in some younger patients there may be less of this laxity. A V-Y myocutaneous flap can utilize some of the horizontal laxity, while limiting distortion of the lower sidewall near the ala. This flap can be raised as a traditional island flap or more extensively developed on a nasalis muscle pedicle for longer reach.
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Papadopoulos DJ, Trinei FA. Superiorly based nasalis myocutaneous island pedicle flap with bilevel undermining for nasal tip and supratip reconstruction. Dermatol Surg. 1999; 25(7):530-6.
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Boyette, J.R. (2023). Reconstruction of a Nasal Sidewall Defect, V-Y Island Flap. In: Stack Jr., B.C., Moreno, M.A., Boyette, J.R., Vural, E.A. (eds) Matrix Head and Neck Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-031-24981-5_49
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DOI: https://doi.org/10.1007/978-3-031-24981-5_49
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