title: Surgical Pearl on Reconstructing Surgical Defects of the Nasal Tip.
abstract: Repairing surgical defects of the nasal tip is challenging, mainly because of the lack of freely mobile skin available peripherally. The Peng flap is a one-stage cutaneous flap that circumvents this difficulty by recruiting skin from the nasaldorsumand sidewall regions. The design produces a tridimensional shape perfectly adapted to the configuration of the nasal tip and allows for an inconspicuous closure of the defect. We present three examples of full-thickness skin defects involving the nasal tip, reconstructed using a modified version of the Peng flap, and present the experience at our department with this surgical technique.
authors.affiliation: Department of Dermatology and Venereology, Centro Hospitalar São João EPE, Porto, Portugal; Faculty of Medicine, University of Porto, Portugal.
authors.forename: Artur
authors.initials: A
authors.lastname: César
authors.affiliation: Department of Dermatology and Venereology, Centro Hospitalar São João EPE , Porto, Portugal.
authors.forename: Ana
authors.initials: A
authors.lastname: Barros
authors.affiliation: Department of Dermatology and Venereology, Centro Hospitalar São João EPE , Porto, Portugal.
authors.forename: Paulo
authors.initials: P
authors.lastname: Santos
authors.affiliation: Department of Dermatology and Venereology, Centro Hospitalar São João EPE , Porto, Portugal.
authors.forename: Filomena
authors.initials: F
authors.lastname: Azevedo
keywords: Nose; Surgical flaps