NASALIS MUSCLE FLAP FOR RECONSTRUCTION OF THE NASAL TIP

  • Neide Pereira Interna do Internato Complementar de Dermatologia e Venereologia/Resident, Dermatology and Venereology
  • A. R. Cabral Interna do Internato Complementar de Dermatologia e Venereologia/Resident, Dermatology and Venereology
  • Ricardo Vieira Assistente Hospitalar de Dermatologia e Venereologia/Consultant, Dermatology and Venereology
  • Américo Figueiredo Director de Serviço; Professor Doutor de Dermatologia e Venereologia dos Hospitais da Universidade de Coimbra/ Head of Dermatology Department; Professor of Dermatology and Venereology of Coimbra University Serviço de Dermatologia, Hospitais da Universidade de Coimbra, EPE, Coimbra, Portugal

Abstract

A 77-year-old female patient submitted to excision of a basal cell carcinoma, resulting in an oval shaped defect with 20x25mm in diameter and exposure of the medial portions of alar cartilages. The reconstruction was perfor- med with transposition of muscle flaps from nasalis muscle in order to obtain a suitable vascular bed for a full-thickness skin graft harvested from a glabelar fold. The final result was cosmetically acceptable.

Nasalis muscle flap associated with a full-thickness skin graft allows a single step reconstruction of nasal tip when exposure of cartilage without pericondrium occurs. Muscle flaps offer a better vascular supply for the skin graft, being a good alternative to local flaps or interpolated flaps, with a simpler surgical technique and achieving acceptable cos- metic results.

KEYWORDS – Nose; Pele; Rhinoplasty; Surgical Flaps.

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Published
2013-01-20
How to Cite
Pereira, N., Cabral, A. R., Vieira, R., & Figueiredo, A. (2013). NASALIS MUSCLE FLAP FOR RECONSTRUCTION OF THE NASAL TIP. Journal of the Portuguese Society of Dermatology and Venereology, 70(1), 105. https://doi.org/10.29021/spdv.70.1.44
Section
Surgical Dermatology

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