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Nasolabial Transposition Flap
for
Closure of a Nasal Cutaneous Fistula
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1.
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2 |
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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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3. |
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4. |
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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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5. |
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6. |
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| The old skin graft
is resected and the flap is elevated. |
Final closure of
first stage. |
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7. |
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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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8. |
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9. |
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| Pre op Second Stage |
Immediate Post-op Closure Second Stage. |
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10. |
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| One week after
second stage reconstruction. |
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11. |
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12. |
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| Pre-op lateral
view. |
Lateral view one
week post op. Note the reduced vestibular show. |
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