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KMID : 0358819820090010089
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Journal of Korean Society of Plastic and Reconstructive Surgeons
1982 Volume.9 No. 1 p.89 ~ p.93
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NASAL RECONSTRUCTION BY SCALPING FLAP
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Abstract
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As the central and prominent feature of the face, human´s nose has borne great brunt - having been mutilated for punishment; shot, blown off and burnt in battle ; bitten. avulsed and sloughed in peacetime ; shriveled from within by disease ; eroded by cancer ; crushed on the road ; and punched in the ring.
The art of nose making was born in the back streets of India centuries before Christ in the hands of the Koomas caste of potters. It was rewakened by the Brancas and Taglia - cozzi.
At the present time the most popular cover is still the forehead, because of color, texture and vascularity. It is fashioned and transported by various popular methods, among which are gillies "up and down flap," New´s "sickle flap." Converse´s "scalping flap" and Kazanjian´s revival of the Indian vertical midline flap.
The degree of loss and deformity will usually dictate the type and quantity of tissue required for correction. For the most satisfactory reconstruction the surgeon must consider all of the alternatives to reach the end point with the fewest number of procedures in the most predictable manner and leave the least amount of donor deformity.
Authors have experienced patient of subtotal loss of nose due to syphilis and satisfactory result using scalping flap.
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