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=PGNYKullJ46beEAxYFQy9m61MhlGM8GTumY8CcmimVg%3D&st=2023-09-21T07%3A46%3A44Z&se=2023-09-21T11%3A51%3A44Z&sp=r
Duration:
T00H05M39S
Embed URL:
https://stream.cadmore.media/player/23c11866-b087-43a0-ba75-590bfa58d9fc
Content URL:
https://asa1cadmoremedia.blob.core.windows.net/asset-301cbbae-5291-4306-a2ae-038bed3170d9/06-0220E2809320Nasolabial20Pedicle20Flap.mov
Upload Date:
2022-02-23T00:00:00.0000000
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.
SOOTHING MUSIC: At the base of the flap, elevation is just above muscle.
SOOTHING MUSIC: Ligature may be required for arterial perforators.
SOOTHING MUSIC: The secondary defect on the cheek is closed with several buried, interrupted sutures.
SOOTHING MUSIC: The surface is then approximated with 6-0 Polypropylene.
SOOTHING MUSIC: 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.
SOOTHING MUSIC: Petrolatum impregnated gauze is wrapped around the pedicle.
SOOTHING MUSIC: At two to three weeks, the viable pedicle is prepared for division.
SOOTHING MUSIC: A wooden swab is placed beneath the pedicle during incision.
SOOTHING MUSIC: The flap is thinned and the recipient bed is freshened.
SOOTHING MUSIC: Any granulation tissue that has formed beneath the flap is sharply excised.
SOOTHING MUSIC: 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.
SOOTHING MUSIC: