title: Crescentic flap for the reconstruction of the nose after skin cancer resection.
abstract: OBJECTIVE
  Non-melanoma skin cancers are the most frequent skin tumours; in 25.5% of cases, they are reported to affect the nasal area. For an excellent surgical outcome, first of all the radical excision of the lesion is important, with appropriate margins of healthy skin in order to avoid recurrences. Moreover is important to achieve a good aesthetical result, avoiding distortion of the aesthetic units and preserving their functions.
  
  
  METHODS
  We have applied the modified crescentic flap, described by Smadja in 2007, to 24 nasal skin defects left by oncologic surgery. It consists of the crescent-shaped resection of Burow's triangle all around the alar groove that allows the advancement of the flap to the tip of the nose, hiding the scar in the alar groove.
  
  
  RESULTS
  The outcome and the long-term follow-up were completely satisfactory both for patients and for surgeons.
  
  
  CONCLUSIONS
  For skin defects localized in the midline or paramedian line of the dorsum of the nose, the crescentic flap seems to be a good solution to obtain the better aesthetic result with respect to both anatomy and function of the nasal area, sparing the patient a second intervention or an overly invasive procedure.
authors.affiliation: Department of Dermatology, University of Modena and Reggio Emilia, Via del Pozzo 71, 41124 Modena, Italy. Electronic address: dottoressa.federica.arginelli@gmail.com.
authors.forename: Federica
authors.initials: F
authors.lastname: Arginelli
authors.affiliation: Maxillofacial Surgery Unit, Department of Head and Neck Surgery, University of Modena and Reggio Emilia, Via del Pozzo 71, 41124 Modena, Italy.
authors.forename: Attilio Carlo
authors.initials: AC
authors.lastname: Salgarelli
authors.affiliation: Department of Dermatology, University of Modena and Reggio Emilia, Via del Pozzo 71, 41124 Modena, Italy.
authors.forename: Barbara
authors.initials: B
authors.lastname: Ferrari
authors.affiliation: Department of Dermatology, University of Modena and Reggio Emilia, Via del Pozzo 71, 41124 Modena, Italy.
authors.forename: Amanda
authors.initials: A
authors.lastname: Losi
authors.affiliation: Maxillofacial Surgery Unit, Department of Head and Neck Surgery, University of Modena and Reggio Emilia, Via del Pozzo 71, 41124 Modena, Italy.
authors.forename: Pierantonio
authors.initials: P
authors.lastname: Bellini
authors.affiliation: Department of Dermatology, University of Modena and Reggio Emilia, Via del Pozzo 71, 41124 Modena, Italy.
authors.forename: Cristina
authors.initials: C
authors.lastname: Magnoni
mesh_terms: D000368:Aged; D004954:Esthetics; D005260:Female; D006801:Humans; D008297:Male; D009666:Nose / Q000601:surgery; D009669:Nose Neoplasms / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012225:Rhinoplasty / Q000379:methods*; D012878:Skin Neoplasms / Q000601:surgery*; D013524:Surgical Flaps
keywords: Crescentic flap; Non-melanoma skin cancer; Oncologic surgery; Reconstructive surgery