THE PENG FLAP - THE FLAP OF CHOICE FOR THE CONVEX CURVE OF THE CENTRAL NASAL TIP

BACKGROUND. Surgical defects of the convex curve of the central nasal tip have always been difficult to repair. Most dermatologic surgeons u se a full-thickness graft in this region. The pinch modification of th e linear advancement flap was described by Peng et al in 1987 as a mea ns of repairing this region. OBJECTIVE. The purpose of this paper is t o discuss the effectiveness of using the Peng flap for repairs of the convex curve of the central nasal tip. METHODS. This flap was used on a series of 25 patients, all of whom had defects of the convex curve o f the central nasal tip. RESULTS. Because the pap both rotates and adv ances, it shortens the length of the traditional advancement flap and increases flap survival rate. We found excellent cosmetic results for central nasal rip defects and had no complications of necrosis using t his pap CONCLUSION. We have found this to be an excellent flap for rep airs of the convex curve of the central nasal tip, as the rotating arm s of the flap conform to the three-dimensional shape and the lateral l ines fit well into cosmetic lines of the nose. When repairing central nasal tip defects, we believe the Peng flap to be the flap of choice t o re-create the convex curve of this region.