Abstract
Background and objectives: nasal reconstruction is challenging for plastic surgeons mainly because its midfacial location and the relationship between convexities and concavities of nasal subunits that make it difficult to hide any contour deformity; as a result, proper planning of final scar location is crucial for successful aesthetic outcome. The modified dorsal nasal flap is used for resurfacing nasal tip defects with respecting of these nasal subunits. This paper evaluates the outcome of modified dorsonasal flap for reconstruction of the dorsal nasal defects. Method: in our department twenty nasal defects were reconstructed with modified dorsal nasal flap between years (2016-2019); Charts of these patients were analyzed in relation to their age, cause and size of the defect, complications and appearance. Results: half of patients who underwent nasal reconstruction by dorsal nasal flap were males (n=10) and the other half were females (n=10), mean age 39.5 months, median defect diameter was (21mm), follow up period ranged from (7-42 months), all patients were satisfied with results with no significant complications including: hematoma, infection, flap loss or wound dehiscence. Conclusion: Dorsal nasal flap is reproducible one stage flap for reconstruction of nasal defects with minimal complication and good aesthetic outcome.
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