The nasofacial interpolated flap in reconstruction of the nasal ala

R. J. Barlow, Neil Swanson

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

Background: Skin cancer frequently involves the nasal alae, the surgical reconstruction of which may be challenging if their margins, contours, and surface texture are to be preserved. Objective: Our purpose was to describe our experience with a nasofacial interpolated flap in which a temporary bridging pedicle is used to transpose skin from the nasofacial and melolabial sulci to an alar defect. Methods: The nasofacial interpolated flap was used in eight patients to reconstruct partial- thickness alar wounds after excision of a basal cell carcinoma. Results: The functional and cosmetic outcome was excellent in five patients and is likely to be good in two others who had postoperative fullness of the flap inset. A poor result was seen in one patient, a heavy smoker, who healed with an atrophic scar at the margin of the primary defect. Conclusion: In alar wounds for which a full-thickness skin graft would provide inadequate bulk, the nasofacial interpolated flap transposes skin of excellent color and textural match without blunting the nasofacial sulcus or the alar groove.

Original languageEnglish (US)
Pages (from-to)965-969
Number of pages5
JournalJournal of the American Academy of Dermatology
Volume36
Issue number6 I
DOIs
StatePublished - 1997
Externally publishedYes

Fingerprint

Nose
Skin Pigmentation
Skin
Basal Cell Carcinoma
Wounds and Injuries
Skin Neoplasms
Cosmetics
Cicatrix
Transplants
daminozide

ASJC Scopus subject areas

  • Dermatology

Cite this

The nasofacial interpolated flap in reconstruction of the nasal ala. / Barlow, R. J.; Swanson, Neil.

In: Journal of the American Academy of Dermatology, Vol. 36, No. 6 I, 1997, p. 965-969.

Research output: Contribution to journalArticle

Barlow, R. J. ; Swanson, Neil. / The nasofacial interpolated flap in reconstruction of the nasal ala. In: Journal of the American Academy of Dermatology. 1997 ; Vol. 36, No. 6 I. pp. 965-969.
@article{43784f313bff45fbaeb9845e7bd8b75e,
title = "The nasofacial interpolated flap in reconstruction of the nasal ala",
abstract = "Background: Skin cancer frequently involves the nasal alae, the surgical reconstruction of which may be challenging if their margins, contours, and surface texture are to be preserved. Objective: Our purpose was to describe our experience with a nasofacial interpolated flap in which a temporary bridging pedicle is used to transpose skin from the nasofacial and melolabial sulci to an alar defect. Methods: The nasofacial interpolated flap was used in eight patients to reconstruct partial- thickness alar wounds after excision of a basal cell carcinoma. Results: The functional and cosmetic outcome was excellent in five patients and is likely to be good in two others who had postoperative fullness of the flap inset. A poor result was seen in one patient, a heavy smoker, who healed with an atrophic scar at the margin of the primary defect. Conclusion: In alar wounds for which a full-thickness skin graft would provide inadequate bulk, the nasofacial interpolated flap transposes skin of excellent color and textural match without blunting the nasofacial sulcus or the alar groove.",
author = "Barlow, {R. J.} and Neil Swanson",
year = "1997",
doi = "10.1016/S0190-9622(97)80282-4",
language = "English (US)",
volume = "36",
pages = "965--969",
journal = "Journal of the American Academy of Dermatology",
issn = "0190-9622",
publisher = "Mosby Inc.",
number = "6 I",

}

TY - JOUR

T1 - The nasofacial interpolated flap in reconstruction of the nasal ala

AU - Barlow, R. J.

AU - Swanson, Neil

PY - 1997

Y1 - 1997

N2 - Background: Skin cancer frequently involves the nasal alae, the surgical reconstruction of which may be challenging if their margins, contours, and surface texture are to be preserved. Objective: Our purpose was to describe our experience with a nasofacial interpolated flap in which a temporary bridging pedicle is used to transpose skin from the nasofacial and melolabial sulci to an alar defect. Methods: The nasofacial interpolated flap was used in eight patients to reconstruct partial- thickness alar wounds after excision of a basal cell carcinoma. Results: The functional and cosmetic outcome was excellent in five patients and is likely to be good in two others who had postoperative fullness of the flap inset. A poor result was seen in one patient, a heavy smoker, who healed with an atrophic scar at the margin of the primary defect. Conclusion: In alar wounds for which a full-thickness skin graft would provide inadequate bulk, the nasofacial interpolated flap transposes skin of excellent color and textural match without blunting the nasofacial sulcus or the alar groove.

AB - Background: Skin cancer frequently involves the nasal alae, the surgical reconstruction of which may be challenging if their margins, contours, and surface texture are to be preserved. Objective: Our purpose was to describe our experience with a nasofacial interpolated flap in which a temporary bridging pedicle is used to transpose skin from the nasofacial and melolabial sulci to an alar defect. Methods: The nasofacial interpolated flap was used in eight patients to reconstruct partial- thickness alar wounds after excision of a basal cell carcinoma. Results: The functional and cosmetic outcome was excellent in five patients and is likely to be good in two others who had postoperative fullness of the flap inset. A poor result was seen in one patient, a heavy smoker, who healed with an atrophic scar at the margin of the primary defect. Conclusion: In alar wounds for which a full-thickness skin graft would provide inadequate bulk, the nasofacial interpolated flap transposes skin of excellent color and textural match without blunting the nasofacial sulcus or the alar groove.

UR - http://www.scopus.com/inward/record.url?scp=0031005458&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0031005458&partnerID=8YFLogxK

U2 - 10.1016/S0190-9622(97)80282-4

DO - 10.1016/S0190-9622(97)80282-4

M3 - Article

VL - 36

SP - 965

EP - 969

JO - Journal of the American Academy of Dermatology

JF - Journal of the American Academy of Dermatology

SN - 0190-9622

IS - 6 I

ER -