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Copyright 2001 American Medical Association. All Rights Reserved.
Applicable FARS/DFARS Restrictions Apply to Government Use.2001
WILD and Hybarger report their experience in 10 patients with reconstruction
of 3½- to 5-cm nasal defects of the tip, dorsum, sidewall, and ala.
They use an ipsilateral dorsal nasal flap and a myelolabial flap for the primary
defect, and close the secondary defect (in the opposite nasofacial groove)
with a contralateral cheek flap. The triple-flap technique is recommended
for central and distal nasal losses, including unilateral alar or full-thickness
defects of less than 5 cm, in patients who are not candidates for a forehead
flap. Its proposed advantages (compared with a forehead flap) are a better
skin match, a single operative stage, and less morbidity. The technique is
illustrated by 2 clinical cases with good results. Included in the article
is a description of a cadaver head that had been injected with dye to identify
perforating vessels of the transverse facial artery and dorsal nasal artery,
which supply the myelolabial flap and dorsal nasal flap, respectively, and
to relate them to fixed facial landmarks to facilitate safe pedicle dissection.
Menick FJ. Triple-Flap Technique for Reconstruction of Large Nasal Defects. Arch Facial Plast Surg. 2001;3(1):22-23. doi: