Indian J Plast Surg Close
 

Figure 3: (a) Laminated Flap on day 14 ready for transfer to nose. (b) Flap transfer to nasal defect – Slot created in midline by excising strip of split-thickness skin graft to receive septum whose mucoperichondrium is already elevated to be sutured to split thickness skin graft edge medially. The split thickness skin graft trimmed in such a way that it acts like a plug to provide lining and sutured to nasal lining under upper laterals above, below to vestibular lining under remaining alar rims and medially to septal mucoperichondrium. (c) Flap transfer to nasal defect – Flap edge and lining skin graft trimmed such that conchal grafts support the alae and skin graft plug provides lining continuity with remaining surrounding epithelium

Figure 3: (a) Laminated Flap on day 14 ready for transfer to nose. (b) Flap transfer to nasal defect – Slot created in midline by excising strip of split-thickness skin graft to receive septum whose mucoperichondrium is already elevated to be sutured to split thickness skin graft edge medially. The split thickness skin graft trimmed in such a way that it acts like a plug to provide lining and sutured to nasal lining under upper laterals above, below to vestibular lining under remaining alar rims and medially to septal mucoperichondrium. (c) Flap transfer to nasal defect – Flap edge and lining skin graft trimmed such that conchal grafts support the alae and skin graft plug provides lining continuity with remaining surrounding epithelium