Facial and Nose Reconstruction With Nasolabial Flap, Skin Cancer, Kevin Kavanagh
Facial and Nose Reconstruction With Nasolabial Flap, Skin Cancer, Kevin Kavanagh

Nasolabial Transposition Flap for
Closure of a Nasal Cutaneous Fistula



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. 



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



The old skin graft is resected and the flap is elevated. Final closure of first stage.


One day post op.  The flap's end was cyanotic and the patient was started on trental to promote blood flow.



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


One week after second stage reconstruction. 



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


For Continuing Medical Education Credits
Go To: 
Return to Ear Nose and Throat - U.S.A.
(Over 1000 pictures, 90 Videos and 250 pages of info.)

The Following Websites are Searched:  www.entusa.com, www.waent.org , www.ear-anatomy.com, www.occupationalhearingloss.com, www.cme-usa.org and www.tobacco-facts.info

Subscribe to a Mailing List for Ear, Nose & Throat Health Care Providers.  Be Notified of updates on  http://www.entusa.com  &


Number of Visits Since 12/26/2008

Hit Counter
Copyright 2008, 2009 
Kevin T Kavanagh,  All Rights Reserved

Page Last Updated 08/18/2017 
( Site Map )

Google Ad space finances and sponsors ENT USA Websites. ENT USA, Cumberland Otolaryngology or Dr Kevin Kavanagh, MD do not endorse, recommend, referrer to or are responsible for the Advertisements or for the
content or claims made
in the Advertisements.