At this point, if required, we modify the nasal tip by open rhinoplasty. Similarly, if cartilage grafts are required for the nasal dorsum or grafts or local plasty to release the nostrils, reconstruction is performed.
These well-vascularized areas are optimal for reconstructing a septal defect, because they comprise mucosa, the flap is relatively thin, and their perfusion is well determined. This procedure guarantees an excellent result, provided that the patient gives up his or her cocaine habit.
Mauricio E. Coronel-Banda, M.D.
José Maria Serra-Mestre, M.D.
José Maria Serra-Renom, M.D., Ph.D.
Wendy P. Larrea-Terán, M.D., M.Sc.
1. André RF, Lohuis PJ, Vuyk HD. Nasal septum perforation repair using differently designed, bilateral intranasal flaps, with nonopposing suture lines. J Plast Reconstr Aesthet Surg. 2006;59:829–834
2. Marshall DM, Amjad I, Wolfe SA. Use of the radial forearm flap for deep, central, midfacial defects. Plast Reconstr Surg. 2003;111:56–64; discussion 65
3. Pribaz J, Stephens W, Crespo L, Gifford G. A new intraoral flap: Facial artery musculomucosal (FAMM) flap. Plast Reconstr Surg. 1992;90:421–429
4. Zhao Z, Li S, Yan Y, et al. New buccinator myomucosal island flap: Anatomic study and clinical application. Plast Reconstr Surg. 1999;104:55–64
5. Coronel-Banda ME, Serra-Renom JM, Lorente M, et al. Cheek mucosa territories irrigated by perforators from the facial artery: An anatomical study. Submitted for publication
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