Facial and Nose Reconstruction With Nasolabial Flap, Skin Cancer, Kevin Kavanagh
Facial and Nose Reconstruction With Nasolabial Flap, Skin Cancer, Kevin Kavanagh
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Nasolabial Transposition Flap for
Closure of a Nasal Cutaneous Fistula
  

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A patient with a right nasal defect and nasal cutaneous fistula after a failed reconstruction with a skin graft. The planned closure.  The skin around the fistula is incised and inverted.  The skin graft is resected. 

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5-0 chromic is used to place an inverting stitch, forming an inner closure layer. Inner layer of fistual has been closed.

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The old skin graft is resected and the flap is elevated. Final closure of first stage.
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One day post op.  The flap's end was cyanotic and the patient was started on trental to promote blood flow.

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Pre op Second Stage Immediate Post-op Closure Second Stage.

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One week after second stage reconstruction. 

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Pre-op lateral view. Lateral view one week post op.  Note the reduced vestibular show. 
 
Up Forehead Flap Forehead Flap - Flash Abbe Estlander Flap Abbe Estlander Flash Abbe Estlander Flap Abbe Estlander Flap Rotation Advancement Rotation Advancement Rhomboid Flap Rhomboid Flap Rhomboid Flap Bilobed Flap Bilobed Flap - Flash Nasolabial Flap Nasal Labial Flap Nasolabial Flap Nasolabial Flap Ear Reconstruction Nasolabial Flap Ear Reconstruction Ear Reconstct. Flash Flap Necrosis

  
  


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