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  • Title: Nasal ala V-Y island flap with a superior vascular pedicle based on inferior perforators of the superior alar artery.
    Author: Read J, Coates D, Pagliaro J, Gaspar Z.
    Journal: Australas J Dermatol; 2024 May; 65(3):266-267. PubMed ID: 38757426.
    Abstract:
    For small defects of the anterior nasal ala, a V-Y pedicle advancement flap within the subunit is a useful repair option. Here we propose a modification of this technique, utilising careful dissection to identify inferior perforators of the superior alar artery. Basing this flap on a visualised vascular pedicle aims to prevent common complications of internal mucosal buckling and free margin notching, by allowing more extensive dissection without compromising the vascularity of the flap.
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