NASALIS MUSCLE FLAP FOR RECONSTRUCTION OF THE NASAL TIP

• Autor(a) principal: Pereira, Neide
• Data de Publicação: 2013
• Outros Autores: Cabral, A. R., Vieira, Ricardo, Figueiredo, Américo
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: https://doi.org/10.29021/spdv.70.1.44

A 77-year-old female patient submitted to excision of a basal cell carcinoma, resulting in an oval shaped defect with 20x25mm in diameter and exposure of the medial portions of alar cartilages. The reconstruction was perfor- med with transposition of muscle flaps from nasalis muscle in order to obtain a suitable vascular bed for a full-thickness skin graft harvested from a glabelar fold. The final result was cosmetically acceptable. Nasalis muscle flap associated with a full-thickness skin graft allows a single step reconstruction of nasal tip when exposure of cartilage without pericondrium occurs. Muscle flaps offer a better vascular supply for the skin graft, being a good alternative to local flaps or interpolated flaps, with a simpler surgical technique and achieving acceptable cos- metic results.KEYWORDS – Nose; Pele; Rhinoplasty; Surgical Flaps.