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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...

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Detalles Bibliográficos
Autores principales: Viciana, Enrique J., Lessard, Anne-Sophie
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
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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.
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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
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