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CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ |
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Česky / Czech version | ACTA CHIRURGIAE PLASTICAE, 49, 3, 2007, pp. 67–70 |
BILATERAL CHEEK-TO-NOSE ADVANCEMENT FLAP:
AN ALTERNATIVE TO THE PARAMEDIAN FOREHEAD FLAP
FOR RECONSTRUCTION OF THE NOSE Sand M.1, Boorboor P.2, Sand D.3, Altmeyer P.4, Mann B.1, Bechara F.G.4 1Department of General and Visceral Surgery, Augusta Kranken Anstalt, Academic Teaching Hospital of the Ruhr-University Bochum, Germany, 2Department of Plastic and Reconstructive Surgery, Hannover Medical School, Hannover, Germany 3Department of Physiological Science, University of California Los Angeles (UCLA), Los Angeles, California, USA, and 4Department of Dermatology and Allergology, Ruhr-University Bochum, Germany |
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Summary: Skin cancer on the nose is commonly treated with surgical excision resulting in defects that require closure. The surgeon is faced with
many reconstructive options. The paramedian forehead flap is one commonly used technique. In this study we describe the bilateral
cheek-to-nose advancement flap as an alternative to the paramedian forehead flap in patients with strong nasolabial folds and prominent
cheek tissue laxity, who require closure of MOHS surgery defects on the nasal dorsum and sidewall. Twelve patients were treated
with the latter flap and evaluated after 2 weeks and 6 months. The patientsʼ subjective and the surgeonsʼ objective evaluation after
6 months were either completely satisfied or satisfied. The bilateral cheek-to-nose advancement flap is a reliable tool in the interventional
portfolio of the reconstructive surgeon.
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