Versatility of advancement flaps for nasal reconstruction following Mohs` micrographic surgery

Abstract

Advancement flaps are important reconstructive options after skin cancer removal on the nose. Donor areas vary according to defect location and size. The objective of this article is to illustrate the versatility of advancement flaps in nasal reconstruction. Five patients were selected. All cases were treated with Mohs' micrographic surgery prior to reconstruction to ensure that 100% of the surgical margins were free of cancer. Advancement flaps can be used to repair a wide variety of surgical defects on the nose with good matching of skin color, texture, and thickness. With careful planning, resulting scars can be camouflaged in natural boundary lines, leading to good functional and cosmetic outcomes.

Pinwheel Flap as an Option to Reconstruct a Nasal Defect: A Series of Two Cases

“…Several techniques are used for reconstruction of defects in the nasal region, such as primary closure, AT flaps, glabel- A B lar advancement, island advancement, glabellar rotation, bilobed, rhomboid and grafting [1,3,6]. All proposals aim to produce good functionality and a great cosmetic result, in addition to tumor resolution.…”

Applying Occam's Razor and Descending the Reconstructive Ladder: The Modified Cheek Advancement Flap for Reconstruction of Nasal Defects

“…A pinch test is performed to ensure there is enough skin laxity for lateral tissue movement. 5,8 The flap is designed by marking a full standing cone superior to the defect (designed to allow the final closure to fall along the dorsal-sidewall junction) and a half standing cone inferior to the defect (designed to allow the closure to fall along the lateral border of the nasal tip subunit when possible). Both standing cones are perpendicular to the nasal alar rim and parallel to or along the junction of the nasal dorsal and sidewall subunits.…”

“…The cheek is undermined widely in the superficial to mid-subcutaneous level to ensure adequate flap mobilization and eliminate tension along closure lines. 4,8,12 Accepted Manuscript This article is protected by copyright. All rights reserved.…”

Nonmelanoma Facial Skin Cancer: A Review of Diagnostic Strategies, Surgical Treatment, and Reconstructive Techniques

“…62 , 63 These include the nasal sidewall rotation flap, as well as the nasolabial flap, bilobed flap, and facial artery perforator flap, with the latter usually reserved for more advanced defects. 64 , 65 Figure 1 demonstrates the use of a bilobed flap for a lower sidewall defect.…”

“…The nasolabial, bilobed, or facial artery perforator flap can also be used for reconstruction of extensive defects that involve the lower sidewall, as previously mentioned. 65…”