Cargando…
V-Y Flap for Nasal Reconstruction
The nasal tip is a complex zone for reconstruction. Numerous flap reconstructions have been proposed. In addition to the technique presented here, only the Gillies-Millard bishop’s miter flap and the paramedian forehead flap should be considered. The bilobed flap should be discontinued. The double-o...
Autores principales: | , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7489650/ https://www.ncbi.nlm.nih.gov/pubmed/32983792 http://dx.doi.org/10.1097/GOX.0000000000003040 |
_version_ | 1783581898739548160 |
---|---|
author | Viciana, Enrique J. Lessard, Anne-Sophie |
author_facet | Viciana, Enrique J. Lessard, Anne-Sophie |
author_sort | Viciana, Enrique J. |
collection | PubMed |
description | The nasal tip is a complex zone for reconstruction. Numerous flap reconstructions have been proposed. In addition to the technique presented here, only the Gillies-Millard bishop’s miter flap and the paramedian forehead flap should be considered. The bilobed flap should be discontinued. The double-opposing V-Y flap for nasal tip reconstruction described here is an excellent method for reconstruction of limited defects of the nasal tip. These are mirror-image cutaneous flaps which require careful, skillful technique to preserve the delicate nerves and vessels. This challenging technique should only be attempted by qualified surgeons. Triangular cutaneous flaps are marked on either side of the defect, oriented transversely. The flaps are elevated and advanced with careful, gentle dissection. Ligamentous structures are cut while preserving the neurovascular supply. No cautery is used. The procedure is performed in an operating room with local anesthesia and with the patient under IV sedation. A patient who underwent this reconstruction is shown preoperatively, early postoperatively, and late postoperatively. The results demonstrate no tip distortion with imperceptible scars. The steps to undertake this procedure are outlined in detail. Rules for nasal tip reconstruction are proposed. |
format | Online Article Text |
id | pubmed-7489650 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-74896502020-09-24 V-Y Flap for Nasal Reconstruction Viciana, Enrique J. Lessard, Anne-Sophie Plast Reconstr Surg Glob Open Plastic Surgery Focus The nasal tip is a complex zone for reconstruction. Numerous flap reconstructions have been proposed. In addition to the technique presented here, only the Gillies-Millard bishop’s miter flap and the paramedian forehead flap should be considered. The bilobed flap should be discontinued. The double-opposing V-Y flap for nasal tip reconstruction described here is an excellent method for reconstruction of limited defects of the nasal tip. These are mirror-image cutaneous flaps which require careful, skillful technique to preserve the delicate nerves and vessels. This challenging technique should only be attempted by qualified surgeons. Triangular cutaneous flaps are marked on either side of the defect, oriented transversely. The flaps are elevated and advanced with careful, gentle dissection. Ligamentous structures are cut while preserving the neurovascular supply. No cautery is used. The procedure is performed in an operating room with local anesthesia and with the patient under IV sedation. A patient who underwent this reconstruction is shown preoperatively, early postoperatively, and late postoperatively. The results demonstrate no tip distortion with imperceptible scars. The steps to undertake this procedure are outlined in detail. Rules for nasal tip reconstruction are proposed. Lippincott Williams & Wilkins 2020-08-11 /pmc/articles/PMC7489650/ /pubmed/32983792 http://dx.doi.org/10.1097/GOX.0000000000003040 Text en Copyright © 2020 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. |
spellingShingle | Plastic Surgery Focus Viciana, Enrique J. Lessard, Anne-Sophie V-Y Flap for Nasal Reconstruction |
title | V-Y Flap for Nasal Reconstruction |
title_full | V-Y Flap for Nasal Reconstruction |
title_fullStr | V-Y Flap for Nasal Reconstruction |
title_full_unstemmed | V-Y Flap for Nasal Reconstruction |
title_short | V-Y Flap for Nasal Reconstruction |
title_sort | v-y flap for nasal reconstruction |
topic | Plastic Surgery Focus |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7489650/ https://www.ncbi.nlm.nih.gov/pubmed/32983792 http://dx.doi.org/10.1097/GOX.0000000000003040 |
work_keys_str_mv | AT vicianaenriquej vyflapfornasalreconstruction AT lessardannesophie vyflapfornasalreconstruction |