抄録
Some kinds of flaps which have both strong and weak points are employed for rhinoplasty in leprosy. The acromiopectoral tubed pedicle flap that one end is at the acromion and the other at the sternal center is the best with series of advantages through the experiences. The donor site where is closed by sutures without skin graft leaves good scar hidden by clothing not such as the operation scar in the case of forehead one's. And also, this flap requirs no standing for bothers with keeping arm's fixed position by the force as the jumped flap's and provides sufficient flap for total or subtotal rhinoplasty. But a few reconstructed nose has telangiectasia on itself.
The most important thing in rhinoplasty is how to keep the reconstructed nose without nostril stenosis in fine too long period, which depends upon prosthesis mostly.
The prosthesis made from the auto or preserved costal cartilage in L-shape is fixed completely in planted tissues with adhesive not the capsule holding as the artificial one's.
Additionally, to overcome the nostril stenosis, the striped composit graft from the herix is inserted into both alae.
The dish face correction is never neglected in leprosy, without this procedure, how the reconstructed nose is fine, it is strange in the face. So, this correction should be done by the nasal dorso-alar groove double pedicle flap moving to the atrophied upper lip region.
