The Spiral Flap for Nasal Alar Reconstruction: Our Experience with 63 Patients

Mahlberg MJ, Leach BC, Cook J (Med Univ of South Carolina, Charleston) Dermatol Surg 38:373-380, 2012^§

Abstract

Objective

To describe our patient selection, design, execution, and results with the spiral flap for distal nasal surgical defects after Mohs micrographic surgery.

Materials and Methods

We performed a retrospective analysis of all spiral flaps performed over a 5-year period. Sixty-three patients were identified, and charts and photographs were examined. Surgical defects were classified according to alar location. All follow-up encounters were reviewed to assess for complications and need for revisionary procedures. Intraoperative photographs were taken of representative cases to describe the surgical technique.

Results

Sixty-three patients on whom the spiral flap was performed were identified over a 5-year period. The flap was used to successfully reconstruct alar defects ranging in size from 5 to 15 mm in diameter. No persistent complications were noted.

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