Nasal downward swing approach coupled with the facial dismasking flap

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.