Name:
Goldman FFS: (06-02) – Nasolabial Pedicle Flap
Description:
Goldman FFS: (06-02) – Nasolabial Pedicle Flap
Thumbnail URL:
https://cadmoremediastorage.blob.core.windows.net/23c11866-b087-43a0-ba75-590bfa58d9fc/thumbnails/23c11866-b087-43a0-ba75-590bfa58d9fc.jpg?sv=2019-02-02&sr=c&sig=kigBkuJuv7FS2TR6rDBsm4iekTc8hdWs4qI1b2%2BitmI%3D&st=2024-09-08T01%3A03%3A31Z&se=2024-09-08T05%3A08%3A31Z&sp=r
Duration:
T00H05M39S
Embed URL:
https://stream.cadmore.media/player/23c11866-b087-43a0-ba75-590bfa58d9fc
Content URL:
https://cadmoreoriginalmedia.blob.core.windows.net/23c11866-b087-43a0-ba75-590bfa58d9fc/06-0220E2809320Nasolabial20Pedicle20Flap.mov?sv=2019-02-02&sr=c&sig=iKVUOZWqCyhrlwvitW3hzvXfu4u%2F9wc1Roltx73r6Xw%3D&st=2024-09-08T01%3A03%3A32Z&se=2024-09-08T03%3A08%3A32Z&sp=r
Upload Date:
2022-02-27T00:00:00.0000000
Transcript:
Language: EN.
Segment:0 .
SOOTHING MUSIC:
NARRATOR: For this nasal tip defect, a two-stage nasolabial interpolation flap is designed. A template is created on the cheek, adjacent to the nasolabial fold. The nasal operative wound is deep into the perichondrium and enlarged as needed to accommodate the flap.
SOOTHING MUSIC: Hemostasis is then accomplished on the enlarged defect. The flap in incised to the subcutis and then elevated with sharp dissection.
SOOTHING MUSIC: The plane of flap elevation is in the mid-subcutis. At the base of the flap, elevation is just above muscle.
SOOTHING MUSIC: Ligature may be required for arterial perforators. The secondary defect on the cheek is closed with several buried, interrupted sutures.
SOOTHING MUSIC: The surface is then approximated with 6-0 Polypropylene. The distal end of the pedicle is appropriately trimmed and thinned to fit the defect.
SOOTHING MUSIC: It is then sutured into place with 6-0 Polypropylene. Petrolatum impregnated gauze is wrapped around the pedicle.
SOOTHING MUSIC: At two to three weeks, the viable pedicle is prepared for division. A wooden swab is placed beneath the pedicle during incision. The flap is thinned and the recipient bed is freshened.
SOOTHING MUSIC: Any granulation tissue that has formed beneath the flap is sharply excised. The flap is then trimmed to be slightly undersized compared to the defect and sutured into place.
SOOTHING MUSIC: The base of the flap pedicle is inset either linearly or as a V to Y closure.
SOOTHING MUSIC: Post-operative and post-takedown results are shown.