RT Book, Section
A1 Miller, Christopher J.
A1 Sobanko, Joseph F.
A1 Albertini, John G.
A2 Avram, Marc R.
A2 Avram, Mathew M.
A2 Ratner, Désirée
SR Print(0)
ID 1175091497
T1 Axial Pattern and Interpolation Flaps
T2 Procedural Dermatology
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 9780071795067
LK dermatology.mhmedical.com/content.aspx?aid=1175091497
RD 2023/03/29
AB Facial  symmetry  correlates  highly  with  facial  attractiveness.1  The  symmetry  of  midline  structures  has  the  greatest  impact  on  perception  of  beauty.2  As  the  nose  occupies  the  most  central  location  on  the  face,  its  complex,  symmetrical  contours  play  a  key  role  in  how  we  perceive  other  people’s  faces.  Observers  normally  focus  their  gaze  on  the  central  triangle  of  the  eyes,  nose,  and  mouth.3  Asymmetric  noses  are  perceived  as  less  attractive,  deformed  noses  attract  excessive  attention,1,3  and  even  small  nasal  lesions  are  considered  disfiguring,  bothersome,  and  important  to  repair.4  When  local  flaps  are  insufficient  for  coverage  of  a  complex  nasal  defect,  the  surgeon  may  need  to  consider  staged  repair  with  a  forehead  or  cheek  interpolation  flap.  Similarly,  the  ear  may  require  a  postauricular  interpolation  flap  (PIF)  to  repair  a  larger  defect  in  an  aesthetic  fashion.  Staged  interpolation  flaps  present  unique  technical  challenges.  This  chapter  will  discuss  the  planning  and  execution  of:  (1)  the  paramedian  forehead  flap  for  nasal  reconstruction;  (2)  the  melolabial  interpolation  flap  (MIF)  for  alar  reconstruction;  and  (3)  the  retroauricular  interpolation  flap  for  ear  reconstruction.