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Reconstruction of the nasal tip using a nasalis myocutaneous flap

✍ Scribed by Michelle J Hunt

Publisher
John Wiley and Sons
Year
2000
Tongue
English
Weight
261 KB
Volume
41
Category
Article
ISSN
0004-8380

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✦ Synopsis

SUMMARY

Reconstruction of nasal tip defects is a technical and aesthetic challenge for dermatological surgeons, due to the limited reservoir of available skin and its thick, inflexible nature. The myocutaneous flap described in this paper, using the vascular pedicle of the transverse nasalis muscle, is an excellent option for repair of defects of the nasal tip. It provides a cosmetically superior result to skin grafting, particularly in noses of β€˜sebaceous’ quality, by providing similar local skin. The flap maintains normal nasal tip contour and, being an axial pattern flap, its blood supply is reliable.

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## Abstract Laryngotracheal stenosis in children should be treated effectively with minimal delay, and the tracheostomy should be closed within a reasonable period after surgery so that the child may develop normal speech and language. Successful reconstruction of the laryngotracheal complex was ac