DOI: 10.1111/ajd.70169 ISSN: 0004-8380

The Rintala Advanced Modification (RAM) Flap: A Novel Technique for Off‐Centre Nasal Reconstruction

Ramy Awadalla, Derek Davies

ABSTRACT

The traditional Rintala flap is associated with visible forehead scarring and glabellar deformities. We describe the Rintala Advanced Modification (RAM) flap, a novel technique that restricts the flap below the eyebrow line and employs asymmetric Burow's triangles for off‐centre defects. Based on 20 patients with nasal basal cell and squamous cell carcinomas, the RAM flap demonstrates superior aesthetic outcomes with no glabellar complications or flap tip necrosis.

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