Nasolabial and Cheek Skin Flaps



Nasolabial and Cheek Skin Flaps


R. R. CAMERON





Nasolabial and cheek skin flaps can be ideal sources for partial nasal reconstruction (1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19). Exact duplication is impossible because of the unique features of the skin covering the nose: thin, resilient, and clear cephalad; thicker, less mobile, and sometimes with prominent pores and blood vessels caudally. The cheeks and forehead are the best color matches, and their proximity simplifies transfer. Flaps from both these areas can be developed in superficial planes so that bulk is diminished.

There is an area of relative redundancy that extends from the inner canthus of the eye to the inferior margin of the mandible, especially in older patients. Most smaller flaps are drawn from the outpouching of redundant tissue from the ala of the nose to the crura of the mouth. This area is generally free of hair growth, except for the lower cheek in males.

Medially, superiorly, and laterally based flaps are best used for reconstruction of the nose, while inferiorly based flaps lend themselves to transfer to the upper lip and nasal floor.


Jun 26, 2016 | Posted by in General Surgery | Comments Off on Nasolabial and Cheek Skin Flaps
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