Modified Spear flap for the reconstruction of a full-thickness defect of the nasal ala
Various options are available for the reconstruction of full-thickness defects of the nasal ala with different advantages and disadvantages, but none are fully satisfactory. We present the case of a 57- year-old man with a recurrent basal cell carcinoma of the right nasal ala and nearby cheek and up...
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| Main Authors: | , |
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| Format: | Book |
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PAGEPress Publications,
2022-03-01T00:00:00Z.
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| Summary: | Various options are available for the reconstruction of full-thickness defects of the nasal ala with different advantages and disadvantages, but none are fully satisfactory. We present the case of a 57- year-old man with a recurrent basal cell carcinoma of the right nasal ala and nearby cheek and upper lip. Tumour clearance was achieved after two stages of 'fresh/frozen' Tübingen technique, resulting in a 2.0 x 2.0 cm full-thickness defect of the lateral right ala. The wound involved the alar rim, groove and adjacent check and upper lip. Reconstruction was successfully achieved with a nasolabial turnover flap (modified Spear flap) in a single stage. The surgical procedure and subsequent outcomes are illustrated. Our experience shows the effectiveness of the nasolabial turnover flap for a single-stage repair of full-thickness defects of the nasal area and adjacent tissue. |
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| Item Description: | 10.4081/dr.2022.9306 2036-7392 2036-7406 |