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Journal of the American Academy of Dermatology
Volume 36, n° 6
pages 965-969 (juin 1997)
Doi : 10.1016/S0190-9622(97)80282-4
Therapy

The nasofacial interpolated flap in reconstruction of the nasal ala
 

R.J. Barlow, MD, MRCP a, , N.A. Swanson, MD b
a Department of Dermatology, Oregon Health Sciences University, Portland, Oregon, USA 
b Department Otolaryngology, Oregon Health Sciences University, Portland, Oregon, USA 

*Reprint requests: R.J. Barlow, MD, Dermatological Surgery and Laser Unit, St John's Institute of Dermatology, St Thomas's Hospital, Lambeth Palace Rd., London SEI 7EH, England.
Abstract
Background:

Skin cancer frequently involves the nasal alae, the surgical reconstruction of which may be challenging if their margins, contours, and surface texture are to be preserved.

Objective:

Our purpose was to describe our experience with a nasofacial interpolated flap in which a temporary bridging pedicle is used to transpose skin from the nasofacial and melolabial sulci to an alar defect.

Methods:

The nasofacial interpolated flap was used in eight patients to reconstruct partial-thickness alar wounds after excision of a basal cell carcinoma.

Results:

The functional and cosmetic outcome was excellent in five patients and is likely to be good in two others who had postoperative fullness of the flap inset. A poor result was seen in one patient, a heavy smoker, who healed with an atrophic scar at the margin of the primary defect.

Conclusion:

In alar wounds for which a full-thickness skin graft would provide inadequate bulk, the nasofacial interpolated flap transposes skin of excellent color and textural match without blunting the nasofacial sulcus or the alar groove.

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