2026-06-08T21:02:46Zhttps://docta.ucm.es/rest/oai/request

oai:docta.ucm.es:20.500.14352/1315942026-02-06T00:57:38Zcom_20.500.14352_14col_20.500.14352_15

00925njm 22002777a 4500 dc Chen, Yue author Olivares Quílez, Martín author Lasso Vázquez, José María author 2025-04 We introduce and evaluate a novel L-shaped perforator free flap from the thenar eminence for total nasal ala reconstruction, addressing both the inner and outer linings in complex nasal reconstruction cases. A 74-year-old man with a history of basal cell carcinoma and multiple failed local flap reconstructions underwent nasal ala reconstruction using the L-shaped thenar flap. The flap, based on the superficial branch of the radial artery, was designed to create a 3-dimensional nasal structure, and its viability was ensured using intraoperative Doppler monitoring. The L-shaped thenar flap successfully reconstructed the nasal ala, maintaining the shape and function of the nostril. The robust vascularization and the ability to incorporate structural cartilage minimized the risk of flap failure. The donor site morbidity was minimal, and the aesthetic outcome was satisfactory, with the flap providing adequate tissue for both the internal and external nasal linings. The L-shaped thenar flap is a viable and effective option for complex nasal ala reconstruction, offering reliable vascularization, sufficient tissue for comprehensive reconstruction, and minimal donor site complications. This technique provides a promising alternative for challenging nasal reconstructions, eliminating the need for separate cutaneous islands and allowing for the potential inclusion of a structural cartilage layer. Chen Y, Quílez MO, Lasso JM. L-shaped Design of the Thenar Eminence Perforator Free Flap for Total Reconstruction of the Nasal Ala. Plast Reconstr Surg Glob Open. 2025 Apr 4;13(4):e6682. doi: 10.1097/GOX.0000000000006682 2169-7574 10.1097/GOX.0000000000006682 https://hdl.handle.net/20.500.14352/131594 https://doi.org/10.1097/GOX.0000000000006682 40191743 https://journals.lww.com/prsgo/fulltext/2025/04000/l_shaped_design_of_the_thenar_eminence_perforator.14.aspx https://pmc.ncbi.nlm.nih.gov/articles/PMC11970886/ L-shaped Design of the Thenar Eminence Perforator Free Flap for Total Reconstruction of the Nasal Ala