TY - JOUR
T1 - The aesthetic unit dorsal nasal flap
T2 - Rationale for avoiding a glabellar incision
AU - Rohrich, Rod J.
AU - Muzaffar, Arshad R.
AU - Adams, William P.
AU - Hollier, Larry H.
PY - 1999/10
Y1 - 1999/10
N2 - The dorsal nasal flap was first introduced by Rieger in 1967. Since that time, it has proven reliable in the coverage of dorsal nasal soft-tissue defects; however, the glabellar component of the flap can leave a conspicuous scar and/or a contracture band. The authors present their experience with 48 patients who had an aesthetic unit dorsal nasal flap and their technique of incisional interface resurfacing, which obviates the need for the glabellar component. Objective independent assessment of the outcomes revealed overall excellent results, with no flap loss, hematoma, or dehiscence. Two cases of contour deformity were noted in male patients with preexisting rhinophyma in the area of the reconstruction. These design modifications enhance the aesthetic result and simplify the use of this flap in dorsal nasal reconstruction.
AB - The dorsal nasal flap was first introduced by Rieger in 1967. Since that time, it has proven reliable in the coverage of dorsal nasal soft-tissue defects; however, the glabellar component of the flap can leave a conspicuous scar and/or a contracture band. The authors present their experience with 48 patients who had an aesthetic unit dorsal nasal flap and their technique of incisional interface resurfacing, which obviates the need for the glabellar component. Objective independent assessment of the outcomes revealed overall excellent results, with no flap loss, hematoma, or dehiscence. Two cases of contour deformity were noted in male patients with preexisting rhinophyma in the area of the reconstruction. These design modifications enhance the aesthetic result and simplify the use of this flap in dorsal nasal reconstruction.
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U2 - 10.1097/00006534-199910000-00008
DO - 10.1097/00006534-199910000-00008
M3 - Article
C2 - 10513908
AN - SCOPUS:0032830170
SN - 0032-1052
VL - 104
SP - 1289
EP - 1294
JO - Plastic and reconstructive surgery
JF - Plastic and reconstructive surgery
IS - 5
ER -