Combination Nasolabial Transposition Flap and Island Pedicle Flap Following Mohs Surgery of Simultaneous Basal Cell Carcinomas Involving Both Nasal Alae

다국어 초록 (Multilingual Abstract)

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.
(Ann Dermatol (Seoul) 20(3) 142∼145, 2008)

다국어 초록 (Multilingual Abstract)

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.
(Ann Dermatol (Seoul) 20(3) 142∼145, 2008)

참고문헌 (Reference)

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