Patel Jay M, Klein Jason C, Tate Jesalyn, Nijhawan Rajiv I
From the Department of Dermatology, University of Texas Southwestern Medical Center, Dallas, TX.
Plast Reconstr Surg Glob Open. 2025 Jul 18;13(7):e6961. doi: 10.1097/GOX.0000000000006961. eCollection 2025 Jul.
Reconstruction of the nasal ala poses challenges due to the need to maintain its concave 3-dimensional shape, preserve nasal symmetry with the contralateral ala, and retain functional patency of the nasal valve. Full-thickness defects after Mohs surgery that involve the external skin, fibrofatty middle portion, and internal nasal lining often require staged procedures for an acceptable cosmetic outcome. Herein, we describe a single-stage repair of the nasal ala using a subcutaneous pedicle advancement flap with a 180-degree transposition.
鼻翼重建颇具挑战，因为需要维持其凹形三维形状，保持与对侧鼻翼的鼻对称性，并保留鼻瓣膜的功能通畅。Mohs手术之后的全层缺损累及外部皮肤、纤维脂肪中间部分和鼻内黏膜，通常需要分阶段手术才能获得可接受的美容效果。在此，我们描述一种使用皮下蒂推进皮瓣进行180度转位的鼻翼单阶段修复方法。
