Reconstruction of full‐thickness defect of the alar rim with a combined advancement chondro‐mucous and bilobed myocutaneous flap

BACKGROUND Mohs micrographic surgery (MMS) is often the treatment of choice for skin cancer removal as it maximizes normal tissue sparing and can be paired with a reconstructive approach that optimizes function and cosmesis. Many tumors on the eyelid, nose, ear, and genitals are particularly well suited for MMS but can be challenging for the dermatologic surgeon. OBJECTIVE To review the complex anatomy, as well as the authors' approach to executing and interpreting Mohs layers, at each of these anatomical sites. METHODS A review of the literature on MMS of the eyelid, nose, ear, and genitals was performed using the PubMed database and relevant search terms. CONCLUSION These sites present potential pitfalls for tumor resection and reconstruction, but with the proper technique, the dermatologic surgeon can minimize tumor recurrence and MMS complications. Warning signs for potentially difficult tumor resection can signify when an interdisciplinary approach is warranted.

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Reconstruction of full‐thickness defect of the alar rim with a combined advancement chondro‐mucous and bilobed myocutaneous flap

Abstract: Our technique is a simple, one-stage procedure, with no distant donor site morbidity that achieves good coverage of the internal nasal lining with good external aesthetic result.

Cited by 2 publications

References 17 publications

Bilobe flap with auricular cartilage graft for nasal alar reconstruction

Bilobe flap with auricular cartilage graft for nasal alar reconstruction

Mohs Micrographic Surgery at Challenging Anatomical Sites

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