Boudard P
Rev Laryngol Otol Rhinol (Bord). 2013;134(4-5):207-11.
analyze the importance of the myocutaneous flap of nasalis muscle of the nose in the reconstruction of skin defects of the nasal tip. This is a retrospective study concerning 15 patients treated from 2010 to december 2012 for basal cell carcinomas of the nasal tip. The minimum follow up was 6 months. We describe the procedure and the indications. The best site to be proposed for this flap is beyond question the latero-medial part of the nasal tip. It can be adapted to skin defects as large as 15 mm. Obviously since it is a skin island flap it is important to respect the pedicle between it and the nasalis muscle. The closure of the donor site is done in the alar-facial sulcus with a VY suture and scarring on this level is very negligible. We analyzed the aesthetic result which is often very good. One advantage of this flap is not to change the architecture of the nasal ala.
分析鼻肌皮瓣在鼻尖皮肤缺损修复中的重要性。这是一项回顾性研究，涉及2010年至2012年12月期间接受治疗的15例鼻尖基底细胞癌患者。最短随访时间为6个月。我们描述了手术过程和适应证。毫无疑问，该皮瓣的最佳供区是鼻尖的中外侧部分。它可适用于最大达15毫米的皮肤缺损。显然，由于它是一个皮岛瓣，重要的是要保留它与鼻肌之间的蒂。供区采用V - Y缝合在鼻翼面部沟处关闭，该部位的瘢痕非常轻微。我们分析了美学效果，通常非常好。该皮瓣的一个优点是不会改变鼻翼的结构。
