Checkmark rotation flap for nasal tip reconstruction in Asian patients

Byung Ho Oh, Yeongjoo Oh, Kyoung Ae Nam, MiRyung Roh, Kee Yang Chung

Research output: Contribution to journalArticle

Abstract

Background: Nasal tip reconstruction (NTR) of the Mohs defect is challenging, especially in Asians who have a relatively low nasal bridge and thin cartilages. Objective: To evaluate the usefulness of a new flap design, the checkmark rotation flap (CRF), for NTR in Asians Methods and materials: We retrospectively reviewed 31 cases of NTR. Among these, 15 cases underwent CRF, which uses skin from the columellar or infra-tip area with a checkmark v-shaped incision (CRF group). The remaining 16 cases underwent reconstruction with other flaps such as the bilobed or island pedicle flap (Others group). Results: The average defect area was larger in the CRF than in the Others group (1.85 ± 1.01 cm2 vs. 1.10 ± 0.72 cm2, p =.0499), but the visual analog scale score was significantly higher in the CRF group (7.97 ± 1.36 vs. 6.25 ± 1.62, p =.0059). For complications, a depressed scar was observed in four cases (26.7%) in the CRF group; nine cases (56.3%) in the Others group presented with a depressed scar, hypertrophic scar, or scarring similar to a trap door deformity. Conclusion: CRF may be a favorable option for the reconstruction of intermediate-sized nasal tip defects, providing good cosmetic outcomes.

Original languageEnglish
JournalJournal of Dermatological Treatment
DOIs
Publication statusPublished - 2019 Jan 1

Fingerprint

Nose
Cicatrix
Hypertrophic Cicatrix
Surgical Flaps
Visual Analog Scale
Cosmetics
Cartilage
Skin

All Science Journal Classification (ASJC) codes

  • Dermatology

Cite this

@article{4382bcf6d7434a80b8732dae9f605fdb,
title = "Checkmark rotation flap for nasal tip reconstruction in Asian patients",
abstract = "Background: Nasal tip reconstruction (NTR) of the Mohs defect is challenging, especially in Asians who have a relatively low nasal bridge and thin cartilages. Objective: To evaluate the usefulness of a new flap design, the checkmark rotation flap (CRF), for NTR in Asians Methods and materials: We retrospectively reviewed 31 cases of NTR. Among these, 15 cases underwent CRF, which uses skin from the columellar or infra-tip area with a checkmark v-shaped incision (CRF group). The remaining 16 cases underwent reconstruction with other flaps such as the bilobed or island pedicle flap (Others group). Results: The average defect area was larger in the CRF than in the Others group (1.85 ± 1.01 cm2 vs. 1.10 ± 0.72 cm2, p =.0499), but the visual analog scale score was significantly higher in the CRF group (7.97 ± 1.36 vs. 6.25 ± 1.62, p =.0059). For complications, a depressed scar was observed in four cases (26.7{\%}) in the CRF group; nine cases (56.3{\%}) in the Others group presented with a depressed scar, hypertrophic scar, or scarring similar to a trap door deformity. Conclusion: CRF may be a favorable option for the reconstruction of intermediate-sized nasal tip defects, providing good cosmetic outcomes.",
author = "Oh, {Byung Ho} and Yeongjoo Oh and Nam, {Kyoung Ae} and MiRyung Roh and Chung, {Kee Yang}",
year = "2019",
month = "1",
day = "1",
doi = "10.1080/09546634.2019.1629385",
language = "English",
journal = "Journal of Dermatological Treatment",
issn = "0954-6634",
publisher = "Informa Healthcare",

}

Checkmark rotation flap for nasal tip reconstruction in Asian patients. / Oh, Byung Ho; Oh, Yeongjoo; Nam, Kyoung Ae; Roh, MiRyung; Chung, Kee Yang.

In: Journal of Dermatological Treatment, 01.01.2019.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Checkmark rotation flap for nasal tip reconstruction in Asian patients

AU - Oh, Byung Ho

AU - Oh, Yeongjoo

AU - Nam, Kyoung Ae

AU - Roh, MiRyung

AU - Chung, Kee Yang

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Background: Nasal tip reconstruction (NTR) of the Mohs defect is challenging, especially in Asians who have a relatively low nasal bridge and thin cartilages. Objective: To evaluate the usefulness of a new flap design, the checkmark rotation flap (CRF), for NTR in Asians Methods and materials: We retrospectively reviewed 31 cases of NTR. Among these, 15 cases underwent CRF, which uses skin from the columellar or infra-tip area with a checkmark v-shaped incision (CRF group). The remaining 16 cases underwent reconstruction with other flaps such as the bilobed or island pedicle flap (Others group). Results: The average defect area was larger in the CRF than in the Others group (1.85 ± 1.01 cm2 vs. 1.10 ± 0.72 cm2, p =.0499), but the visual analog scale score was significantly higher in the CRF group (7.97 ± 1.36 vs. 6.25 ± 1.62, p =.0059). For complications, a depressed scar was observed in four cases (26.7%) in the CRF group; nine cases (56.3%) in the Others group presented with a depressed scar, hypertrophic scar, or scarring similar to a trap door deformity. Conclusion: CRF may be a favorable option for the reconstruction of intermediate-sized nasal tip defects, providing good cosmetic outcomes.

AB - Background: Nasal tip reconstruction (NTR) of the Mohs defect is challenging, especially in Asians who have a relatively low nasal bridge and thin cartilages. Objective: To evaluate the usefulness of a new flap design, the checkmark rotation flap (CRF), for NTR in Asians Methods and materials: We retrospectively reviewed 31 cases of NTR. Among these, 15 cases underwent CRF, which uses skin from the columellar or infra-tip area with a checkmark v-shaped incision (CRF group). The remaining 16 cases underwent reconstruction with other flaps such as the bilobed or island pedicle flap (Others group). Results: The average defect area was larger in the CRF than in the Others group (1.85 ± 1.01 cm2 vs. 1.10 ± 0.72 cm2, p =.0499), but the visual analog scale score was significantly higher in the CRF group (7.97 ± 1.36 vs. 6.25 ± 1.62, p =.0059). For complications, a depressed scar was observed in four cases (26.7%) in the CRF group; nine cases (56.3%) in the Others group presented with a depressed scar, hypertrophic scar, or scarring similar to a trap door deformity. Conclusion: CRF may be a favorable option for the reconstruction of intermediate-sized nasal tip defects, providing good cosmetic outcomes.

UR - http://www.scopus.com/inward/record.url?scp=85068118999&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85068118999&partnerID=8YFLogxK

U2 - 10.1080/09546634.2019.1629385

DO - 10.1080/09546634.2019.1629385

M3 - Article

C2 - 31184519

AN - SCOPUS:85068118999

JO - Journal of Dermatological Treatment

JF - Journal of Dermatological Treatment

SN - 0954-6634

ER -