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November 1990

Current Status of Dermatologic Surgery: New Special Requirements for Dermatology Residency Training

Author Affiliations

Department of Dermatology Henry Ford Hospital 2799 W Grand Blvd Detroit, MI 48202

Arch Dermatol. 1990;126(11):1493-1495. doi:10.1001/archderm.1990.01670350107019

The single-stage modification of the nasolabial flap, as described by Zitelli1 in this issue of the Archives, is a valuable contribution to the techniques of closure of defects of the nose following the Mohs micrographic surgical removal of skin cancer. The nasolabial flap is a transposition flap with an excellent blood supply and great viability. Although it has been described as an important and classic transposition flap, it has not been a totally satisfactory one because of the bulging effect at its point of rotation, the commonly associated trap door deformity, and the significant loss of the nasolabial fold and concavity at the side of the nose. The correction of these problems usually requires a second procedure. Zitelli's modification offers significant advantages over the standard nasolabial flap, both in cosmetic results and in requirements of only one stage. His discussion of the nasolabial flap contributes to a better understanding

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