A new flap for reliable nasal reconstruction

Objective: In this article, we describe a new flap for use in lower nasal r econstruction. Method: This technique consists of a planned heminasal transposition rotati on flap, with both laterally based and glabellar components. Esthetically f avourable incisions are made to follow at the junction between the esthetic subunits. Results: Gratifying early results are achievable, resulting in little posto perative edema due to maintenance of laterally based lymphatic and Venous o utflow. Likewise, pleasing long-term outcomes have been noted in each of th e ten patients in whom we have utilized this flap for nasal reconstruction. Complete flap survival has been noted in every patient. Conclusions: Our experience with the use of this flap technique suggests th at it provides consistently rewarding, esthetically pleasing results in pat ients with cutaneous defects of the lower half of the nose.