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  • Title: Refinements of nasalis myocutaneous flap.
    Author: Wee SS, Hruza GJ, Mustoe TA.
    Journal: Ann Plast Surg; 1990 Oct; 25(4):271-8. PubMed ID: 2244736.
    Abstract:
    During the last 3 years, we have applied the nasalis myocutaneous island flap for reconstruction of nasal defects following excision of skin basal cell carcinoma and melanoma in 19 patients. By refinements with Z plasty, early dermabrasion, and placement of a bolster, we could minimize the trapdoor deformity, obvious scars, and blunting of the alar groove. No patients required revisional surgery, and flap survival was 100%. On the basis of our experience, the nasalis myocutaneous island flap is the solution for reconstruction of moderate-sized distal nasal defects in terms of reliability, aesthetics, and simplicity.
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