Nasal downward swing approach coupled with the facial dismasking flap

Abstract

Objective: For the purpose of an en bloc resection with sufficient margins, a wide surgical field is necessary. We have reported on the application of a facial dismasking flap for removals of craniofacial lesions in order to provide a better surgical field with less morbidity. In this paper, we are introducing a new method, which is called the "nasal downward swing approach".

Methods: This approach is a modification of the facial dismaking flap, which elevates the nasal bone along with the facial skin.

Results: This approach offers an extremely wide surgical field on the facial front, especially the nasal cavity, while keeping scarring or facial paresis down to a bare minimum.

Conclusion: This approach helps to preserve the entire shape of the nasal bone in particular, therefore, a good surgical option for pediatric patients.