[Repair of loss of substance from the nose with a two-pointed lozenge-shaped flap (author's transl)].
A lozenge-shaped resection is employed to obtain a flap consisting of two triangular elements having a common pedicle. The resulting flap has similar qualities to the one described by Esser-Zymany: available tissue is obtained at a distance from the lesion, with reduced torsion of the pedicle and without deformation of the intermediary zone; use can be made, if necessary, of the lax tissue in the different quadrants surrounding the pedicle; double locking of the graft is possible. The flap has the additional advantage that its borders can be easily adapted. The authors have used it in 16 out of 34 cases treated over a period of 18 months.