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(A) depicts the full thickness nasal alar defect on the patient. Nasal mucosa is incised along
the lines in (B) and pulled inferiorly into the defect making the mucosal layer of
reconstruction. (C) shows both the cartilage graft laid onto the mucosal layer and planning for
the rotational skin flap using a template of the defect. With the cartilage graft sutured in
place, the skin flap is rotated into the defect, as depicted in (D). Triangular dog ears are
excised to help close the donor site of the skin flap. (E) illustrates the skin flap sutured
into place with the pedicle at the lateral boarder and the donor site hidden as a nasolabial
fold. Finally, (F) shows the finished reconstruction with the pedicle revised a few weeks later.
Pen and ink illustration.
Danahey DG, Hilger PA. Reconstruction of Large Nasal Defects. Otolaryngologic Clinics of North America 2001; 34: 695-711.
Published as:
Exhibited in: Association of Medical Illustrators Salon. Rochester, Minnesota. July 12-15, 2000.
Exhibits
© 2001, Bill Walsh.
Danahey DG, Hilger PA. Reconstruction of Large Nasal Defects. The North American Clinics of
Otolaryngology (submitted). Publications