Nasal Support and Lining: The Marriage of Beauty and Blood Supply

  title={Nasal Support and Lining: The Marriage of Beauty and Blood Supply},
  author={Gary C. Burget and Frederick J. Menick},
  journal={Plastic and Reconstructive Surgery},
Assured of a robust blood supply by its narrow pedicle centered on the septal branch of the superior labial artery, the pivoting septal flap provides nasal support from the radix to the most distal nasal tip and from the tip to the columella base—plus a large bonus of lining tissues for the nasal vault and vestibules. Lining flaps from such intranasal tissues are thin, vascular, and flexible. They allow the use of primary cartilage grafts and the establishment of a subsurface architecture in… Expand
Lining options in nasal reconstruction
In full-thickness defects, lining frequently determines the final aesthetic result and should be vascular, permitting primary healing without tissue loss, late infection, or extrusion of cartilage grafts. Expand
Outcome of Modified Turn in Flaps for the Lining With Primary Cartilage Support in Nasal Reconstruction
Nasal turndown flaps provide reliable tissue for the lining and allow primary placement of cartilage grafts. Expand
Facial Artery Musculomucosal (FAMM) flap for nasal lining in reconstruction of large full thickness lateral nasal defects
Mulosal island variant of this flap is presented to reduce the tension on this flap while restoring the nasal lining in large full thickness nasal defect. Expand
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The ideal reconstructive technique should recreate the contour of the columella, provide nasal tip projection, and maintain external valve patency and the authors recommend a 2-stage reconstruction with bilateral nasal sill flaps and an auricular composite graft. Expand
The forehead flap: the gold standard of nasal soft tissue reconstruction.
The forehead flap is one of the oldest recorded surgical techniques for nasal reconstruction and provides a reconstructive surgeon with a robust pedicle and large amount of tissue to reconstruct almost any defect. Expand
Intranasal lining flaps
Various surgical techniques useful in restoring intranasal lining required during reconstruction of full thickness nasal defects are summarized. Expand
Nasal reconstruction.
  • F. Menick
  • Medicine
  • Plastic and reconstructive surgery
  • 2010
A preliminary operation may be required to ensure clear margins, recreate the defect, reestablish a stable nasal platform on which to build the nose, and prepare tissues for transfer. Expand
The use of folded melolabial interpolation flaps to repair full thickness distal nasal defects: A review of technique and results
The experience with a two-stage folded-over melolabial interpolation flap (MLIF) to repair partial full thickness defects of the distal nose and ala in order to recreate the cutaneous covering, nasal rim, and inner mucosal lining is reviewed. Expand
Custom-fabricated nasal conformers and surgical stents in the management of midfacial acid burn injuries: A clinical report.
A clinical treatment for fabricating a custom nasal conformer for a 28-year-old man who presented with a history of an acid burn injury leading to obstructed external nares and fusion of the tip and columella of the nose with the philtrum of the upper lip. Expand
Inner Lining Reconstruction of the Nose
This work extends the framework of plastic surgery essentials on which surgical outcomes of the highest order depend, and outlined beautifully the principles supporting the practice of nasal reconstruction in his 1985 work. Expand