Reconstruction of nasal dorsal defect with double-leaf transposition skin flap

The upper half of the nose (2/5) has a certain degree of swimming, which is not as dense and sticky as the lower part of the nose (3/5). If there is a small defect in the skin here, it can be repaired with a flap near the nose. It has easy access and can often be completed in one (or two) phases. The thickness and color of the skin are very similar, the survival rate is high, the infection is less, the healing is good, and the cosmetic effect is good. Therefore, the doctors are happy to use the flaps. The flap with double-leaf flap can be transferred from 45° to 180°. The designed double-leaf flap can be used to repair large defects. The skin area can be from the eyebrow according to the defect. It can also come from the nose and cheeks. Treatment of diseases: nasal trauma, otolaryngology and trauma Indication Used for larger defects in the nose. Preoperative preparation Fully designed the bilobal flap. Surgical procedure First, the eyebrow flap 1. According to the size of the defect, design a double leaf flap between the eyebrows. 2. Transfer the flap down to complete the repair of the defect. Second, the nasal cheek flap 1. According to the size of the defect, make a double-leaf flap of the nose and cheek. 2. Finish the wound at the defect, transfer the flap up, and repair the defect. If the defect is large and it is not easy to use the adjacent flap to repair, it can be repaired with free full thickness flap.

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