Caterpillar Nasal Skin Flap for Nasal Tip Reconstruction



Caterpillar Nasal Skin Flap for Nasal Tip Reconstruction


T. D. CRONIN





Small losses of the nasal tip may be repaired by a caterpillar flap, which consists of a V-Y advancement as the first stage (1).




ANATOMY

The blood supply to this flap follows a random pattern. Blood supply of the skin of the nose is very robust and survives on narrow and even scarred pedicles.


OPERATIVE TECHNIQUE


First Stage

A triangular flap is elevated, taking care to carry the apex no higher than or only slightly higher than the inner canthi to avoid difficulties in closure owing to fixation of the skin at the latter points. The flap is advanced downward and folded onto itself. A shift of 1 to 1.5 cm can be accomplished readily.

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Jun 26, 2016 | Posted by in General Surgery | Comments Off on Caterpillar Nasal Skin Flap for Nasal Tip Reconstruction
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