![]() The Bilobe Flap for Nasal Reconstruction. Flap or graft: The best of both in nasal ala reconstruction. Nasal tip wound repair using a rhombic transposition flap with a double Z-plasty at its base. Tunneled transposition flap for reconstruction of defects of the nasal ala. Subcutaneous Pedicle Limberg Flap for Facial Reconstruction. Facial resurfacing with the Limberg flap. ![]() 62(4):542-5.īrobyn TJ, Cramer LM, Hulnick SJ, Kodsi MS. Innovations in the island pedicle flap for cutaneous facial reconstruction. Modified Dufourmentel flap, easy to design and tailor to the defect. The Bilateral Dufourmentel Flap for Repair of Nasal Dorsum Defects After Mohs Micrographic Surgery. Closure of rhomboid skin defects: the flaps of Limberg and Dufourmentel. Nasalis-Based V to Y Flap Versus the Bilobed Flap. 78 (2):370-6.įlores K, Degesys CA, Kearney E, Retterbush P, Merritt BG. The superiorly based bilobed flap for nasal reconstruction. Nose defects reconstruction with the Zitelli bilobed flap. Grieco MP, Bertozzi N, Grignaffini E, Raposio E. The bilobed flap for nasal reconstruction. Extranasal applications of the bilobed flap. Advantages of the bilobed flap for closure of small defects of the face. A critical assessment of the bilobed flap. Reconstructive utility of the bilobed flap: lessons from flap successes and failures. The lobular transposition flap - A useful adjunct to reconstruct helical defects. Reconstruction of the superior helical rim with a postauricular transposition flap. Biomechanics of the rhombic transposition flap. Topp SG, Lovald S, Khraishi T, Gaball CW. Larrabee WF Jr, Trachy R, Sutton D, Cox K. Rhomboid flap principles and common variations. Clinical applications of the rhomboid flap. ![]() Therefore, an anteriorly or posteriorly placed transposition flap can be effectively used for reconstruction of superior helical rim defects located proximally, enabling a single-stage procedure in place of a multistage interpolation flap.īednarek RS, Sequeira Campos M, Ramsey ML. The possibility of a trapdoor deformity may be desired here to some extent because it would help to recreate the natural helical rim contour. ![]() The rest of the flap is then sewn into place with routine simple interrupted sutures.Ī cartilage graft may be harvested from the opposite ear to re-form the rim if there is significant cartilage loss in the primary defect. After trimming the flap to fit the defect, the first suture is placed at the tip of the flap and secured to the remaining helix with a vertical mattress suture to allow good eversion and avoid notching of the rim. Because the postauricular skin is thin, undermining should be done with care. A burrow triangle is added to the flap to allow easy closure of the secondary defect by tapering the tip of the secondary defect. The flap is designed to have a length-to-width ratio of 1:4 (exceeding the length of the defect). The anterior edge of the flap is cut along the retroauricular sulcus. To reconstruct a similarly sized defect, a postauricular transposition flap can be performed as a single-stage procedure. For helical defects greater than 2.5 cm, a multistaged tubed flap (anterior or posterior) is considered. However, when the defect is 1.5-2.5 cm, the best choice is helical advancement flap. When defects are smaller than 1.5 cm, wedge conversion of the defect followed by primary closure is aptly suited without distortion of the anatomy. Reconstruction of the upper one third of the ear may be achieved using several strategies such as full-thickness skin grafts, wedge resection with subsequent primary closure, helical advancement flaps, multistage preauricular or postauricular tubed flaps, and one-stage preauricular or postauricular transposition flaps. The banner flap is taken behind the superior aspect of the ear. ![]()
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