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KMID : 0032220140260030377
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Annals of Dermatology
2014 Volume.26 No. 3 p.377 ~ p.380
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The Reverse Nasolabial Flap with a Cartilage Graft for the Repair of a Full-Thickness Alar Defect: A Single-Stage Procedure
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Shim Hyun-Chul
Kim Geon
Choi Ji-Hyun
Kim Ji-Hye
Kim Eun-Jung
Park Hyang-Joon
Joh Ok-Ja
Son Sook-Ja
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Abstract
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A 65-year-old woman with a deeply infiltrating basal cell carcinoma in the right ala underwent full-thickness excision of most of the ala, including the alar rim, crease, and the adjacent cheek, leaving a ‘through-and-through’ defect. Reconstruction was performed by using the reverse nasolabial flap and a cartilage graft across the alar defect, harvested from the concha, to prevent nostril collapse and to maintain the alar shape. The reverse or turnover nasolabial flap is a variant of the conventional nasolabial flap; however, it may be more suited for the repair of a full-thickness, lateral alar defect. The reverse nasolabial flap functions both as an inner liner and an outer cover and the repair is performed as a single-stage procedure. Furthermore, this flap can provide both excellent function and excellent cosmetic outcome.(Ann Dermatol 26(3) 377∼380, 2014)
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KEYWORD
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Nasal cartilages, Surgical flaps
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FullTexts / Linksout information
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Listed journal information
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