Interpolated Melolabial Flaps: Reconstruction of Alar and Columellar Units Open image in new window
Burget 1 outlined seven principles unique to aesthetic reconstruction of the face. These principles also apply to reconstruction of the nose. Whether repairing a defect of the face or nose, the goal is a normal contour. The missing part is restored in its three-dimensional form, replacing each missing layer with like tissue. Templates are used to design grafts and flaps. Scars are camouflaged by placing them along the junction of aesthetic regions or units whenever possible. Entire convex aesthetic units (tip and alae) are resurfaced when practical. In the case of the nose, cartilage grafts are used to create contour, prevent collapse, and resist the forces of wound contraction. Refinement of the repair is accomplished by a contouring procedure consisting of subcutaneous tissue sculpturing. All these reconstructive principles are important, particularly when surgically restoring defects of the ala.
KeywordsCartilage Graft Island Flap Covering Flap Transposition Flap Internal Nasal Valve
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