The pedicled levator labii superioris alaeque nasi flap: A durable single-stage option for reconstruction of full-thickness nasal defects.

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The pedicled levator labii superioris alaeque nasi flap: A durable single-stage option for reconstruction of full-thickness nasal defects.

Am J Otolaryngol. 2018 Oct 02;:

Authors: Moore K, Thompson R, Lian T

Abstract
IMPORTANCE: Repair of full-thickness nasal defects can often be associated with multi-stage operations that can result in significant physical and psychological morbidity for patients. We present a single-stage option for reconstruction of these defects.
OBJECTIVE: Demonstrate the utility of the pedicled levator labii superioris alaeque nasi flap and consistency of its vascular pedicle.
DESIGN: Anatomical study using fresh cadavers.
SETTING: Academic medical center.
MAIN OUTCOME AND MEASURES: Evaluation of vascular anatomy of pedicled flap and measurements of distances with relationship to facial anatomic landmarks.
RESULTS: With few noted anatomic variations, the vascular pedicle of the pedicled levator labii superioris alaeque nasi flap arises from the superior labial artery and is reliably located within 1 cm lateral and inferior of the nasal sill.
CONCLUSIONS AND RELEVANCE: As a robust single-stage option, the pedicled levator labii superioris alaeque nasi flap can serve as a powerful option in the arsenal of the reconstructive surgeon. The technique for harvest is simple with attention to a few anatomic variations as described herein, and excellent results can be obtained with proper application.

PMID: 30473167 [PubMed - as supplied by publisher]

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