Abstract
Advancement flaps are not commonly utilized on the nasal dorsum, primarily due to the lack of mobility of the skin in this region. This differs from using cheek skin to advance and cover lateral nasal sidewall defects. There is very rarely enough laxity to make it to the midline nasal dorsum. Furthermore, moving larger cheek flaps across the nasofacial sulcus will often result in loss of the sulcus concavity, even with using tacking sutures.
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Suggested Reading
Rohrer, Thomas E., et al. “Chapter 15. Nasal Reconstruction.” Flaps and Grafts in Dermatologic Surgery, 2nd Edition, Elsevier Saunders, Philadelphia, PA, 2008.
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Boyette, J.R. (2023). Nasal Dorsum Defect, Bilateral O-to-T Advancement 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_50
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DOI: https://doi.org/10.1007/978-3-031-24981-5_50
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