Nasal Cutaneous Flaps Open image in new window

  • Shan R. Baker


Primary wound closure is possible for smaller skin defects of the nose, especially in the elderly patient, where nasal skin tends to be redundant. Defects that are 1 cm or smaller in size and located on the dorsum or sidewall are repaired most easily. This is accomplished by the advancement of opposing wound margins after wide undermining of the skin adjacent to the defect. Standing cutaneous deformities form at the margins of the repair and require excision, although some of the skin cone dissipates without treatment over 4–6 weeks.


Skin Defect Nasal Dorsum Medial Canthus Transposition Flap Skin Laxity 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. 1.
    Herbert DC, DeGeus J. Nasolabial subcutaneous pedicle flaps. Br J Plast Surg. 1975;28:90.PubMedGoogle Scholar
  2. 2.
    Herbert DC. A subcutaneous pedicled cheek flap for reconstruction of alar defects. Br J Plast Surg. 1978;31:79.PubMedGoogle Scholar
  3. 3.
    Staahl TE. Nasalis myocutaneous flap for nasal reconstruction. Arch Otolaryngol Head Neck Surg. 1986;112:302.PubMedCrossRefGoogle Scholar
  4. 4.
    Millman B, Klingensmith M. The island rotation flap: a better alternative for nasal tip repair. Plast Reconstr Surg. 1996;98:1293.PubMedCrossRefGoogle Scholar
  5. 5.
    Elliott RA Jr. Rotation flaps of the nose. Plast Reconstr Surg. 1969;44:147.PubMedGoogle Scholar
  6. 6.
    Rieger RA. A local flap for repair of the nasal tip. Plast Reconstr Surg. 1967;40:147.PubMedCrossRefGoogle Scholar
  7. 7.
    Rigg BM. The dorsal nasal flap. Plast Reconstr Surg. 1973;52:361.PubMedGoogle Scholar
  8. 8.
    Marchac D, Toth B. The axial frontonasal flap revisited. Plast Reconstr Surg. 1985;76:686.PubMedCrossRefGoogle Scholar
  9. 9.
    Rohrich RJ, Muzaffar AR, Adams WP Jr, et al. The aesthetic unit dorsal nasal flap: rationale for avoiding a glabellar incision. Plast Reconstr Surg. 1999;104:1289.PubMedCrossRefGoogle Scholar
  10. 10.
    Johnson TM, Swanson NA, Baker SR, et al. The rieger flap for nasal reconstruction. Arch Otolaryngol Head Neck Surg. 1995;121:634.PubMedCrossRefGoogle Scholar
  11. 11.
    Esser JFS. Gestielte lokale nasenplastik mit zweizipfligem lappen deckung des sekundaren detektes vom ersten zipfel durch den zweiten. Dtsch Z Chir. 1918;143:385.CrossRefGoogle Scholar
  12. 12.
    McGregor JC, Soutar DS. A critical assessment of the bilobed flap. Br J Plast Surg. 1981;34:197.PubMedCrossRefGoogle Scholar
  13. 13.
    Zitelli JA. The bilobed flap for nasal reconstruction. Arch Dermatol. 1989;125:957.PubMedCrossRefGoogle Scholar
  14. 14.
    Burget GC, Menick FJ. Repair of small surface defects. In: Burget GC, Menick FJ, eds. Aesthetic Reconstruction of the Nose. St. Louis: Mosby-Year Book; 1994:117.Google Scholar
  15. 15.
    Baker SR. Reconstruction of the Nose. In: Baker SR, ed. Local Flaps in Facial Reconstruction. St. Louis: Elsevier; 2007.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.University of Michigan School of MedicineAnn ArborUSA

Personalised recommendations