01-04-2014 | Innovative Techniques
Aesthetic Modification to the Rintala Flap: A Case Series
Published in: Aesthetic Plastic Surgery | Issue 2/2014
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Background
Defects of the nasal dorsum have historically been repaired based on size and with respect to subunit principle. This case series provides a previously undescribed option for correcting defects of the nasal dorsum 1.5–2.5 cm in size. The foremost advantages of this technique are preservation of nasal subunit integrity and the integration of subtle nasal tip rotation.
Methods
We present a case series involving five consecutive patients aged 49–74 after Mohs excision for malignancies of the nasal dorsum. Defects were corrected using the aesthetic modification to the Rintala flap over a 10-year period by two primary surgeons.
Conclusions
The aesthetic modification to the Rintala flap should be considered as a reconstruction option for patients with defects of the nasal dorsum between 1.5 and 2.5 cm in size, especially for those patients desiring rotation of the nasal tip.
Level of Evidence IV
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