What is nasolabial flap?

The nasolabial flap is a pedicled flap with a wide description and application for use in lateral nasal wall, ala, columella, and intraoral reconstruction. It is a versatile flap that is well tolerated by the patient, with very acceptable donor-site scars.
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What type of flap is nasolabial flap?

The nasolabial flap is an axial flap but may be utilized as a random flap [4]. The flap receives its blood supply from the angular artery (a branch of the facial artery), the infraorbital artery, and the transverse facial artery [6].
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What is the flap in the nostril?

What Are The Nasal Valves? “Nasal valves” are areas in the nose that are narrow and cause difficulties in breathing. There are 2 nasal valves, an “internal” and an “external” nasal valve. The external nasal valve is the “nostril” of the nose and is made up of the ala, the round fleshy area on the sides of the nose.
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What is a cheek flap?

The cheek rotation advancement flap is one of the local flaps that reconstructs the face and is used to reconstruct the cheeks or the wide lower eyelid defect. It is also used for reconstruction of medial or lateral canthal defects because of its flexibility and easily manipulated treats [1].
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How does a forehead flap work?

This involves freeing a flap of skin from the forehead, with its own blood supply, and attaching it over the wound on the nose. The flap remains attached until the nose is fully healed. This is usually around 4 weeks. Once the nose has healed, the flap will be separated from the forehead.
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nasolabial island flap for nasal skin reconstruction



Does flap surgery hurt?

Most patients experience some discomfort after a flap procedure. Depending on your needs, we may prescribe pain medication or recommend over-the-counter medicine. It is important to relax after surgery, as strenuous activity may cause the treated area to bleed.
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How long does it take to heal from flap surgery?

It can take about 6 to 8 weeks to recover from DIEP flap reconstruction surgery. Your doctor may recommend that you wear a compression girdle for up to 8 weeks after surgery.
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What is cheek reconstruction surgery?

Cheek reconstruction aims to restore the normal skin cover and contour of this prominent facial feature. Repair of skin cancer defects is one of the commonest reasons for cheek reconstruction or another type of face and neck surgery. Skin cancer in this area is usually removed by the Mohs technique.
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How do you do the rhomboid flap?

Rhomboid Flap Design with Pictures
  1. Draw a rhomboid shape around the lesion. A rhomboid is a symmetrical shape made up of two angles of 120° and two of 60°. ...
  2. Draw the Flap. The rhomboid flap has a “leg” to stand on, which is bent at the knee. ...
  3. Excise the Lesion and Connect the Letters. ...
  4. Flap Closure.
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What is the CPT code for advancement flap closure?

Answer: You should have reported one CPT code 14040 for the advancement flap which includes the lesion excision and repair.
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How can you tell if you have a deviated septum at home?

A Simple Self-Test to Determine If You Have a Deviated Septum
  1. Place your index finger on one side of your nose and breathe in air on the nostril that is open.
  2. Do the same thing on the other side of your nose.
  3. While doing steps 1 and 2, check how easy or difficult it was for air to pass through your nostrils.
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Why can't I breathe through my nose when I sleep?

Nasal obstruction, nasal congestion, and a deviated septum are some of the most common reasons why you can't breathe through the nose at night. While this complaint can cause severe discomfort, you do have options to help treat it and get you back to breathing normally.
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How do I know if my nose is collapsing?

One way to check is with a Cottle test. Your doctor will pull your cheek away from your nose for a few seconds to open your nasal valve. Then they'll see if that helps you breathe more easily. If it does, you probably have a collapsed nostril.
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How do you get nasolabial folds?

Nasolabial folds become more noticeable due to a variety of factors, including:
  1. sun exposure, which damages the skin, causing wrinkles and changes in texture.
  2. loss of collagen with age, making the skin look weak and thin.
  3. loss of fat, which can make the cheeks and nearby regions appear saggy.
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What are the lines on your cheeks called?

Nasolabial folds are common wrinkles that form alongside your inner cheeks. They stretch from the bottom of your nose to the corners of your mouth. Everyone has these wrinkles to some degree, but they tend to get deeper with age, along with other factors.
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What is the CPT code for nasolabial flap?

Both the attachment of the flap to the nose (CPT 15576) and the division and inset at the nose (CPT 15630) are reported based upon the site of the surgical defect to which the flap is attached.
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What is rhomboid flap repair?

A rhombic flap, used to repair rhombus-shaped defects, is a transposition flap, a type of flap that is useful when the size or shape of a lesion does not permit direct closure using a standard fusiform incision.
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What is a glabellar flap?

The glabellar flap is a rotation advancement flap of the glabella to cover wounds up to 2.5 cm. Its blood supply is often described as random axial, but it can be based on the supratrochlear or angular artery in some cases [7].
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How is a skin flap done?

Flap surgery

In most cases, the skin remains partially attached to the body, creating a "flap". The flap is then repositioned and stitched over the damaged area. For more complex reconstruction, a technique called a free flap is used.
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Are cheek implants worth it?

Cheek implants are a simple, effective, customizable, permanent and reversible procedure. Some doctors say “cheek implants don't work”. I have successfully treated hundreds of patients over the last 20 years with cheek implants and have them in my own face. I say “cheek implants work great in experienced hands”.
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Can you feel cheek implants?

The implant of the proper size and shape is then inserted through these incisions into a pocket created over the bone. After proper healing, the implants typically feel as if they are part of your own cheekbone.
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Do cheek implants make a big difference?

Both cheek implants and fillers make your cheeks look fuller, more plump, and more round. Making the decision between a cheek implant or fillers is very similar to the process described above. It's important to weigh your preferences and goals when making a decision.
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What are the side effects of flap surgery?

Risks of having a flap reconstruction
  • Loss of the flap. Blood vessels supplying the flap may kink or get clots, leading to bleeding and a loss of circulation. ...
  • Problems with the donor site. After having an abdominal flap reconstruction, some women find it takes a while for the wound to heal. ...
  • Hernia (abdominal bulge)
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How do you care for flaps after surgery?

To care for the graft or flap site:
  1. You may need to rest for several days after surgery as your wound heals.
  2. The type of dressing you have depends on the type of wound and where it is.
  3. Keep the dressing and area around it clean and free from dirt or sweat.
  4. Do not let the dressing get wet.
  5. Do not touch the dressing.
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What is the difference between a skin graft and a flap?

How does a flap differ from a graft? A flap is transferred with its blood supply intact, and a graft is a transfer of tissue without its own blood supply. Therefore, survival of the graft depends entirely on the blood supply from the recipient site. Flap surgery is a subspecialty of plastic and reconstructive surgery.
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