Tunneled Interpolated Flaps in the Reconstruction of Nasal Defects

Frederico Bonito; André Pinho; Ana Brinca; João Goulão; Ricardo Vieira

doi:10.29021/spdv.79.1.1314

Frederico Bonito Department of Dermatology - Hospital Garcia de Orta, Almada, Portugal https://orcid.org/0000-0003-2199-5468
André Pinho Department of Dermatology - Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal https://orcid.org/0000-0001-6433-311X
Ana Brinca Department of Dermatology - Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal https://orcid.org/0000-0002-7539-9912
João Goulão Department of Dermatology - Hospital Garcia de Orta, Almada, Portugal
Ricardo Vieira Department of Dermatology - Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal https://orcid.org/0000-0002-5914-9171

DOI: https://doi.org/10.29021/spdv.79.1.1314

Keywords: Nasal Cartilages, Nose/surgery, Reconstructive Surgical Procedures, Rhinoplasty/methods, Surgical Flaps

Abstract

The reconstruction of nasal skin defects is a challenge even for an experienced dermatological surgeon. When the defect is too large or complex to be corrected with simpler flaps, interpolated flaps are a good option, but they usually require two surgeries. Tunneled interpolated flaps were developed to allow the reconstruction of complex defects in only one surgical procedure. In nasal reconstruction, the main tunneled flaps are the paramedian forehead and the melolabial flaps. This review will focus on these two flaps: description of the technique, applications, advantages and disadvantages.

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