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 n… Show more
“…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.…”
Two patients with BCC in the nasal region were treated: Patient 1: Female patient, 81-years-old, phototype III, from Londrina (PR), with erythematous plaque, 24 mm × 21 mm, on the lateral dorsum to the right of the nasal region, compatible with BCC by biopsy. The lesion was excised with safety margins
“…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.…”
Two patients with BCC in the nasal region were treated: Patient 1: Female patient, 81-years-old, phototype III, from Londrina (PR), with erythematous plaque, 24 mm × 21 mm, on the lateral dorsum to the right of the nasal region, compatible with BCC by biopsy. The lesion was excised with safety margins
“…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.…”
Section: Techniquementioning
confidence: 99%
“…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.…”
INTRODUCTION: Nasal reconstruction has important functional and cosmetic considerations, as proper repair of nasal defects is necessary to maintain function of the nasal airway and to recreate the normal appearance of this central facial structure. Cheek advancement flaps provide matched, mobile and highly vascularized tissue for the reconstruction of nasal defects, allowing for the concealment of incisions within natural creases in a one-stage approach. However, cheek advancement flaps are often underutilized for nasal reconstruction because of their difficulty restoring nasal contour.
METHODS: We describe reconstruction of 19 nasal dorsal and sidewall defects 0.8 to 3.0 centimeters (cm) in size. We incorporated a periosteal anchoring suture to maintain/restore nasal contour and additionally removed a half standing cone inferior to the defect to prevent encroachment of the nasal ala or alar crease. All patients were evaluated at least 3 months post-operatively.
RESULTS: In all patients, we were able to restore concavity of the nasofacial sulcus, preserve the biconvex nasal tips, prevent alar flaring and retraction and conserve the alar groove. All patients had excellent functional and cosmetic outcomes.
CONCLUSION: We believe this modified cheek advancement flap provides functionally and aesthetically superior results and can be considered as a first-line approach for repair of nasal dorsal and sidewall defects in sub selected patients.
“…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.…”
Section: Facial Reconstructionmentioning
confidence: 99%
“…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…”
Nonmelanoma skin cancer is the most common form of cancer in the United States, and the face is a common area for skin cancer development due to its frequent exposure to the sun. This article focuses on the surgical management of facial nonmelanoma skin cancers, including diagnostic considerations, biopsy techniques, and staging. In addition, we discuss surgical treatment options, including indications, techniques, outcomes, and facial reconstruction following tumor excision.
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