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. 2011:2011:181093.
doi: 10.1155/2011/181093. Epub 2011 Jun 7.

Reconstruction of nasal skin cancer defects with local flaps

A C Salgarelli  1 , P Bellini, A Multinu, C Magnoni, M Francomano, F Fantini, U Consolo, S Seidenari
Affiliations

Reconstruction of nasal skin cancer defects with local flaps

A C Salgarelli et al. J Skin Cancer. 2011.

Abstract

Reconstruction of nasal defects must preserve the integrity of complex facial functions and expressions, as well as facial symmetry and a pleasing aesthetic outcome. The reconstructive modality of choice will depend largely on the location, size, and depth of the surgical defect. Individualized therapy is the best course, and numerous flaps have been designed to provide coverage of a variety of nasal-specific defects. We describe our experience in the aesthetic reconstruction of nasal skin defects following oncological surgery. The use of different local flaps for nasal skin cancer defects is reported in 286 patients. Complications in this series were one partial flap dehiscence that healed by secondary intention, two forehead flaps, and one bilobed flap with minimal rim necrosis that resulted in an irregular scar requiring revision. Aesthetic results were deemed satisfactory by all patients and the operating surgeons. The color and texture matches were aesthetically good, and the nasal contour was distinct in all patients. All scars were inconspicuous and symmetrical. No patient had tenting or a flat nose.

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Figures

Figure 3
Figure 3
(a) BCC involving the lateral tip of the nose. (b) Zitelli's flap design. (c) Tumour resection. (d) Intraoperative view: double transposition flap. (e) Nasal appearance two years after surgery.
Figure 1
Figure 1
(a) BCC involving nasal tip: flap design. (b) Tumour resection. (c) Intraoperative view: modified bilateral nasalis flap. (d) Interpositional flap from the alar groove. (e) Nasal appearance before and one year after surgery.
Figure 2
Figure 2
(a) Nasolabial flap design. (b) Tumour resection. (c) The flap is transferred to the recipient site. (d) Nasal appearance two years after surgery.
Figure 4
Figure 4
(a) Multifocal nasal skin cancer: flap design. (b)Skin defect after tumour resection. (c) Nasal appearance one year after surgery: frontal view. (d) Nasal appearance one year after surgery: lateral view.
See this image and copyright information in PMC

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