Plastic and Reconstructive Surgery, Global Open (May 2022)

Rintala Flap and Posterior Perichondrial Cutaneous Graft: A Combined Approach for Nasal Tip Reconstruction

  • Ebai A. Eseme, MD,
  • Daniel Da Rocha, BS,
  • Mathias Tremp, MD,
  • Evangelia Tzika, MD,
  • Rastine Merat, MD, PhD,
  • Daniel F. Kalbermatten, MD, PhD,
  • Carlo M. Oranges, MD, PhD

DOI
https://doi.org/10.1097/GOX.0000000000004316
Journal volume & issue
Vol. 10, no. 5
p. e4316

Abstract

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Summary:. Nasal tip reconstruction requires a meticulous approach due to the complexity of the nasal anatomy and its aesthetic importance. Many procedures have been described to restore this aesthetic unit, including the paramedian forehead flap, which is one of the workhorse flaps. However, despite excellent final outcomes, this procedure may be refused by patients, due to its temporary conspicuous appearance possibly associated with serious psychological implications, and the need of multiple interventions. We aimed to present an approach combining the Rintala flap and the posterior perichondrial cutaneous graft as a valuable alternative to treat large nasal tip defects.