Haas E
Laryngol Rhinol Otol (Stuttg). 1980 Oct;59(10):622-9.
The median frontal flap described by Kazanjian, a horizontal or slightly oblique frontal flap and the scalp flap described by Converse are discussed. It is shown that each method can be used for specific indications. The choice of method by the less experienced is therefore facilitated. A. The median frontal flap is especially indicated for the grosser defects of the back and the lateral parts of the nose. B. The horizontal or slightly oblique frontal flap is especially indicated for subtotal or total defects of the nasal alae or tip of the older patient, who can not undergo repeated surgery or prolonged hospitalisation. C. The frontal scalp flap is especially indicated for the grosser subtotal or total defects of the external nose. - The fronto-temporal flap, described by Schmid, and the "Island-flap" belong to flaps, who need more experience on the field of plastic surgery. The latter is described in his different variations and it is shown the advantage of "one time" equalization of defects by using this technique. The "bilobed flap" too allowes the "one time" equalization and is suitable for the surgery of defects in the region of the tip of the nose.
讨论了卡赞吉安描述的正中额部皮瓣、水平或略倾斜的额部皮瓣以及康弗斯描述的头皮皮瓣。结果表明，每种方法都可用于特定适应症。因此，有助于经验不足者选择方法。A.正中额部皮瓣特别适用于鼻背部和外侧较大的缺损。B.水平或略倾斜的额部皮瓣特别适用于老年患者鼻翼或鼻尖的部分或全部缺损，这些患者无法接受重复手术或长期住院治疗。C.额部头皮皮瓣特别适用于外鼻较大的部分或全部缺损。-施密德描述的额颞部皮瓣和“岛状皮瓣”属于需要更多整形手术领域经验的皮瓣。文中描述了后者的不同变体，并展示了使用该技术“一次性”修复缺损的优势。“双叶皮瓣”也能实现“一次性”修复，适用于鼻尖区域缺损的手术。
