Revisiting the East‐West advancement flap: great for multiple anatomic locations

Abstract

Background The east‐west advancement flap is a simple flap traditionally used to repair Mohs surgery defects on the nose. We aim to demonstrate this flap can be used with good cosmetic outcome and minimal complications on a variety of anatomical sites. Methods This study was a case series of four patients taking place between March 2021 and September 2021 with 4‐ to 6‐week postoperative follow‐up. Results Four male patients were included in the study. Repair sites included the helix, chin, wrist, and scalp. All patients and the Mohs surgeon reported satisfaction with the cosmetic outcome at 4‐ to 6‐week postoperative follow‐up with no complications. Conclusion The east‐west advancement flap is a viable repair option for Mohs surgery defects on a variety of anatomical sites.