The pedicled levator labii superioris alaeque nasi flap: A durable single-stage option for reconstruction of full-thickness nasal defects

Publication date: Available online 2 October 2018

Source: American Journal of Otolaryngology

Author(s): I.I. Kevin Moore, Richard Thompson, Timothy Lian

Abstract

Importance

Repair of full-thickness nasal defects can often be associated with multi-stage operations that can result in significant physical and psychological morbidity for patients. We present a single-stage option for reconstruction of these defects.

Objective

Demonstrate the utility of the pedicled levator labii superioris alaeque nasi flap and consistency of its vascular pedicle.

Design

Anatomical study using fresh cadavers.

Setting

Academic medical center.

Main outcome and measures

Evaluation of vascular anatomy of pedicled flap and measurements of distances with relationship to facial anatomic landmarks.

Results

With few noted anatomic variations, the vascular pedicle of the pedicled levator labii superioris alaeque nasi flap arises from the superior labial artery and is reliably located within 1 cm lateral and inferior of the nasal sill.

Conclusions and relevance

As a robust single-stage option, the pedicled levator labii superioris alaeque nasi flap can serve as a powerful option in the arsenal of the reconstructive surgeon. The technique for harvest is simple with attention to a few anatomic variations as described herein, and excellent results can be obtained with proper application.

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