Abstract
The septal pivot flap has been an integral part of my concept for total and subtotal
nasal repair. Since 2004, I have performed 15 reconstructions, in 9 cases combined
with a pivot flap. The three-stage procedure starts with reconstruction of the septum
by lifting the flap if available and needed. In the nine patients, all flaps could
be rotated smoothly and without necrosis, contributing a minor or even major portion
of nasal lining in every case. The neoseptum provided a strong static support, thus
preparing the ground for significantly good projection, protection, and definition
of profile and tip. This article illustrates the basic technique step by step and
presents four typical cases.
Keywords
septal pivot flap - septal composite flap - total nasal reconstruction
