Objectives: understanding the special anatomy of the nasal pyramid
understanding why we are using which flap for closing a local defect on the nose
tipps and tricks to consider in reconstructive surgery of the nose
Introduction: The complex three dimensional anatomy of the nasal pyramid is always a challenge to reconstruct, specially in skin cancer surgery with local flaps after excision.
Materials / method: In a retrospective study of 340 patients who have been operated between 2013 and 2021 we analysed the different localization of the cancer and discuss le chosen flap with the aesthetic and functional result . Complications and special difficulties in this type of surgery where exposed.
Results: The glabellar flap for defects of the upper third of the nasal pyramid , Rieger/ Marchac flap for the lower third of the nasal pyramid / nasal tip, the bilobed flap for defects of the lateral portion of the nasal pyramid and nasolabial fold advancement flaps for the close to alar defects are our prefered and mostly used flaps.
Conclusion: While respecting the aesthetic units and taking consideration of the complex anatomy of the external nose, we give some guidelines to get optimal form and function in reconstructive surgery of the nose.
Disclosures
Did you receive any funding to support your research for this TOPIC?
No
Were you provided with any honoraria, payment or other compensation for your work on this study?
No
Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No
Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No
This work was not supported by any direct or non direct funding. It is under the author's own responsability