Combination Nasolabial Transposition Flap and Island Pedicle Flap Following Mohs Surgery of Simultaneous Basal Cell Carcinomas Involving Both Nasal Alae.
The nasal ala is a challenging area for surgical reconstruction, with thick sebaceous skin, the lack of an ample tissue reservoir, and an adjacent free margin. Numerous flaps have been reported for the repair of alae defects. A 71-year-old woman with simultaneous basal cell carcinomas involving both nasal alae was treated by Mohs micrographic surgery. The surgical defects measured 1.5×1.5 cm on the center of the right nasal ala and 1.0×1.0 cm on the left nasal ala, including the alar crease and rim. The right nasal ala was used as a nasolabial transposition flap and the left nasal ala was reconstructed by an island pedicle flap. The final shape and texture were satisfactory. The flaps survived and nasal symmetry was preserved. Combined nasolabial transposition and island pedicle flaps thus offer a superior esthetic and functional result owing to minimized tension. This may be a valuable reconstructive option in the repair of bilateral nasal alae defects.
Beautis Skin & Laser Clinics, Busan, Korea.
Chae Young
CY
Lee
Department of Dermatology, College of Medicine, Dong-A University, Busan, Korea.
Yeong Kyu
YK
Lee
Department of Dermatology, College of Medicine, Dong-A University, Busan, Korea.
Kyu Won
KW
Choi
Department of Dermatology, College of Medicine, Dong-A University, Busan, Korea.
Chae Wook
CW
Lee
Department of Dermatology, College of Medicine, Dong-A University, Busan, Korea.
Ki Ho
KH
Kim
Department of Dermatology, College of Medicine, Dong-A University, Busan, Korea.
Young Hun
YH
Kim
Minimized tension flaps; Nasal alae defect; Simultaneous basal cell carcinomas