0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Surgical Technique |

Gangplank Flap Reconstruction of the Nose

Frits Jan Bas van Hemert, MD; Remco de Bree, MD, PhD; Charles Rene Leemans, MD, PhD; Marinus Johannes Middelweerd, MD, PhD
Arch Facial Plast Surg. 2007;9(3):201-204. doi:10.1001/archfaci.9.3.201.
Text Size: A A A
Published online

In subtotal nose reconstruction, different tissues have to be reconstructed. We report the case of a 51-year-old man with a severe deformity of the nose (shortening and collapse of the nose, retraction of the right alar area, and a total septal defect after surgery and radiotherapy for a septum nasi carcinoma). Reconstruction with good results was performed with a “gangplank” flap technique (using a U-shaped skin flap for inner lining and for lengthening), rib cartilage for the nasal skeleton, and skin coverage with a paramedian forehead flap.

Figures in this Article

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Figures

Place holder to copy figure label and caption
Figure 1.

Deformity of nose before reconstructive surgery. A, Front view; B, view from below; C, lateral view.

Graphic Jump Location
Place holder to copy figure label and caption
Figure 2.

Harvested cartilage from the eighth right rib. The ruler is in centimeters.

Graphic Jump Location
Place holder to copy figure label and caption
Figure 3.

Surgical procedure. A, Marking of the incisions for creating the U-shaped flap (U-flap) just posterior to the alar cartilages. B, Full-thickness incision just posterior from the alar cartilage to preserve the tip of the nose. C, Rotating the nasal tip downward for more projection and lengthening of the nose. The defect in which the U-flap will be rotated for lining and lengthening is clearly visible. D, Developing the U-flap for intranasal lining. E, Rotating the U-flap into the nasal defect, providing derotation of the nasal tip and lengthening of the dorsum. F, Lateral view of the defect with the U-flap in position. G, Creation of the dorsum and lateral nasal wall with rib cartilage, fixed in place with miniscrews. H, Creation of a cartilage strut for nasal tip support and projection of the nasal tip. I, Marking the incisions for the paramedian forehead flap for coverage of the cartilage grafts.

Graphic Jump Location
Place holder to copy figure label and caption
Figure 4.

Eight months after reconstruction. A, Front view; B, view from below; C, lateral view.

Graphic Jump Location

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

59 Views
0 Citations
×

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles
[Research progress on the management of no packing after septoplasty]. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2016;30(1):80-3.
Jobs
brightcove.createExperiences();