PARANASAL FLAP FOR NASAL ALAR LOBULE AND MARGIN RECONSTRUCTION: A CASE REPORT

Main Article Content

Hardik Gupta
Vikas Kunwar Singh
Ruchika Tiwari
Sakshi Kudal
Prashansa Gaikwad

Keywords

nasal alar, Defects, OPD, nasal lobule

Abstract

The nasal ala is a paired part of the nostril that is vital for maintaining nasal symmetry and functionally important in the maintenance of the nasal opening. Defects of the nasal alar region are challenging and difficult to reconstruct, given its complex structure. Successful repair of these defects needs to provide aesthetic symmetry and preserve nasal function.2 


Advantage of the paranasal flap is a donor site that is a good match for the ala and lacks terminal hairs. Additional advantages have become evident with time. First, the axis of rotation is 90 degree or less, thus necessitating a shorter flap and placing less torsional constriction on the flap’s vascular pedicle. This is a novel flap whose use is in patients with small-medium defects. The advantages include excellent final cosmetics with regard to contour, color, texture, lack of hair transfer, minimal risk of alar margin distortion and cheek asymmetry, and overall lower morbidity.

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References

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DOI: 10.1111/j.1524-4725.2009.01106.x
2. Comprehensive Algorithm for Nasal Ala Reconstruction: Utility of the Auricular Composite Graft Collin Chen, MD,1 Ruchin Patel, MD,1 and John Chi, MD1
DOI: 10.1055/s-0038-1639581
3. Shan R. Baker Chapter 12: Melolabial Flap in Local Flaps in Facial Reconstruction (2nd Ed.), Elsevier, China (2007)
4. Berish Strauss, Luis O. Vasconez, Charles K. Herman, Bernard T. Lee Grabb Encyclopedia of Flaps Head and Neck Volume One (4th Ed.), LWW (2015)
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