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Laryngoscope. 2013 Feb;123(2):356-9. doi: 10.1002/lary.23595. Epub 2012 Sep 10.

Interpolated subcutaneous fat pedicle melolabial flap for large nasal lining defects.

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  • 1Department of Otolaryngology-Head and Neck Surgery, University of Michigan Health System, Ann Arbor, Michigan 48109, USA. gargriff@med.umich.edu

Abstract

Full-thickness nasal deformities are a reconstructive challenge. Restoration of a reliable internal lining is critical for a successful reconstruction. Septal hinge flaps are the workhorse for internal lining defects. However, these and other intranasal mucosal flaps are sometimes unavailable due to prior harvest or previous oncologic resection. We present the two-stage interpolated subcutaneous fat pedicle melolabial flap for lining large defects when traditional intranasal flaps are unavailable. This approach is particularly useful when one forehead flap has already been expended, preserving the patient's remaining forehead tissue for external cover.

Copyright © 2012 The American Laryngological, Rhinological, and Otological Society, Inc.

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