What is a dorsal nasal flap?

What is a dorsal nasal flap?

The dorsal nasal flap is a local flap that utilizes nasal skin for a single-stage reconstruction. It involves rotation advancement of dorsal nasal skin from the upper two-thirds of the nose and glabella to the lower nose.

How long does it take for a nose flap to heal?

The flap remains attached until the nose is fully healed. This is usually around 4 weeks. Once the nose has healed, the flap will be separated from the forehead. After the separation, the flap may be bulky and a thinning procedure to the skin on the nose may be required to achieve a better cosmetic appearance.

What is a bilobed flap nasal reconstruction?

The bilobed flap is a local transposition flap useful for the repair of nasal defects commonly seen after Mohs surgery. The bilobed flap has benefits over other nasal transposition or advancement flaps because it distributes wound closure tension over a larger surface area through the use of 2 lobes.

What is workhorse operation for large complex nasal defects?

The paramedian forehead flap remains the primary workhorse for any significant nasal defect. These defects may range from small full-thickness defects to major defects requiring total or subtotal nasal reconstruction.

What is rhomboid flap?

The rhomboid (Limberg) flap is a transposition flap that, like the bilobed flap and the Z-plasty, depends on the pliability of the adjacent skin, which can be determined by pinching various areas between the thumb and forefinger (2).

How does a forehead flap work?

The tip of the flap, for the initial 1.5 to 2 cm, is raised in the subcutaneous plane with removal of subcutaneous fat and underlying frontalis muscle. This technique creates a thin, pliable flap that will conform nicely to the underlying osseocartilaginous structure of the nose.

What happens after flap surgery?

Once you heal from a gum flap surgery, your gums should be pink and healthy again and you can prevent the recurrence of gum disease by brushing at least twice and flossing at least once per day. Your dentist can monitor the health of your gums at your six-month cleaning and examination.

How is skin flap surgery done?

Flap surgery In most cases, the skin remains partially attached to the body, creating a “flap”. The flap is then repositioned and stitched over the damaged area. For more complex reconstruction, a technique called a free flap is used.

What kind of flap is a bilobed flap?

The bilobed flap is a double transposition flap commonly used in reconstruction of facial skin defects. The bilobed flap allows for the movement of more skin over a longer distance than that possible with a single transposition flap.

What type of flap is Paramedian forehead?

OVERVIEW AND INDICATIONS. The paramedian forehead flap is an interpolated axial flap that is commonly used in reconstruction of defects of the nasal dorsum and tip. Defects often occur from excision of skin cancer, but may also be the result of trauma.

Which flaps are best for nasal soft tissue reconstruction in India?

However, in the Indian subcontinent, the skin is less elastic and the scars are evident. Reconstruction with local or regional flaps is best suited for nasal soft tissue reconstruction. This study highlights the advantages of local and regional flaps and their outcome and acceptability in the patients.

What are the different types of flaps used in Alar reconstruction?

Depending on the size and location of the defect and following the subunit principles, local or regional flaps were planned. In one patient, composite graft was used for alar reconstruction, and rest all were reconstructed with local or regional flaps. In two patients, dorsal nasal flaps and bilobed flaps were used.

What type of graft is used for alar reconstruction?

In one patient, composite graft was used for alar reconstruction, and rest all were reconstructed with local or regional flaps. In two patients, dorsal nasal flaps and bilobed flaps were used. In three patients, nasolabial flaps were used.