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  Contents > Previous page > Article detail print Order
o Issue N# 4 - 2013 o

PLASTIC SURGERY

The place of the myocutaneous flap of the nasalis muscle in the repair of skin defects of the nasal pyramid


Authors : Boudard P. (Bordeaux)

Ref. : Rev Laryngol Otol Rhinol. 2013;134,4:207-211.

Article published in french
Downloadable PDF document french



Summary : Objectives: analyze the importance of the myocutaneous flap of nasalis muscle of the nose in the reconstruction of skin defects of the nasal tip. This is a retrospective study concerning 15 patients treated from 2010 to december 2012 for basal cell carcinomas of the nasal tip. The minimum follow up was 6 months. We describe the procedure and the indications. The best site to be proposed for this flap is beyond question the latero-medial part of the nasal tip. It can be adapted to skin defects as large as 15 mm. Obviously since it is a skin island flap it is important to respect the pedicle between it and the nasa­lis muscle. The closure of the donor site is done in the alar-facial sulcus with a VY suture and scarring on this level is very negligible. We analyzed the aesthetic result which is often very good. One advantage of this flap is not to change the archi­tec­tu­re of the nasal ala.

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