and Charles P. Molumi2
(1)
University of Papua New Guinea and Port Moresby General Hospital, Boroko, National Capital District, Papua New Guinea
(2)
Port Moresby General Hospital, Boroko, National Capital District, Papua New Guinea
5.1 Repair of Alar Defect with Full Thickness Skin Graft
Fig. 5.1
Incision site is marked out for nasal basal cell carcinoma excision
Fig. 5.2
The defect after excision
Fig. 5.3
Full thickness skin graft is harvested from the postauricular region
Fig. 5.4
Full thickness post auricular skin graft is used to close the nasal defect
Fig. 5.5
Wound heals without scaring, 10 weeks after operation
5.2 Superior Based Nasolabial Flap for Reconstruction of Alar Defect
Fig. 5.6
The flap is marked out for reconstruct of alar defect using a superior based nasolabial flap
Fig. 5.7
A nasal dorsum turnover flap (arrow head) and a superior based nasolabial flap (arrow) are raised
Fig. 5.8
The nasal dorsum turnover flap is reflected down
Fig. 5.9
The nasal dorsum turnover flap is stabilized by suturing its lateral and basal sides with the respective parts of the vestibular skin
Fig. 5.10
The donor area of the nasolabial flap is sutured; the nasal dorsum turnover flap forms the roof of the vestibule
Fig. 5.11
The nasolabial flap is sutured with the nasal dorsum and with the turnover flap
5.3 Modified Reiger Glabellar Rotation Flap
Fig. 5.12
The incision is marked out for reconstruction of the alar defect using a Reiger glabellar rotation flap
Fig. 5.13
The entire skin of the nasal dorsum including the glabella and part of the cheek is mobilised. The skin above the defect is used as rotation flap for inner lining
Fig. 5.14
The flap is transported to cover the defect
Fig. 5.15
Appearance of the patient 3 months after operation
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