Extended rotation flap for reconstruction of partial thickness defects of the tip and nasal ala region: in search of better aesthetic results.
Aesthetic reconstruction
Basal cell carcinoma
Nose flap
Nose reconstruction
Journal
JPRAS open
ISSN: 2352-5878
Titre abrégé: JPRAS Open
Pays: Netherlands
ID NLM: 101680420
Informations de publication
Date de publication:
Sep 2021
Sep 2021
Historique:
received:
15
01
2021
accepted:
07
05
2021
entrez:
30
6
2021
pubmed:
1
7
2021
medline:
1
7
2021
Statut:
epublish
Résumé
Basal cell carcinoma is the most common non-melanoma skin cancer of the nose. Defects of the nasal ala and tip region are among the most difficult to repair due to their intrinsic characteristics. To present our experience with the extended rotation flap for reconstruction of nasal ala defects and evaluate the outcome using the Patient and Observer Scar Assessment Scale (POSAS). Twenty-two patients with partial thickness nasal ala defects reconstructed using the extended rotation flap were assessed. Final cosmetic and functional outcomes were evaluated using the POSAS. Flaps survived in all the reported cases and no major complication was recorded. Histology showed complete excision of the tumour in all cases. Using the POSAS, the mean overall evaluation for patients was 1.8/10, while the mean overall evaluation for the evaluation panel was 2.2/ 10. Although similar flaps have been previously described, the extended rotation flap for nasal ala and tip reconstruction represents a functionally and cosmetically appealing wound closure option, respecting and avoiding any distortion of the alar crease.
Sections du résumé
BACKGROUND
BACKGROUND
Basal cell carcinoma is the most common non-melanoma skin cancer of the nose. Defects of the nasal ala and tip region are among the most difficult to repair due to their intrinsic characteristics.
OBJECTIVE
OBJECTIVE
To present our experience with the extended rotation flap for reconstruction of nasal ala defects and evaluate the outcome using the Patient and Observer Scar Assessment Scale (POSAS).
METHODS AND MATERIALS
METHODS
Twenty-two patients with partial thickness nasal ala defects reconstructed using the extended rotation flap were assessed. Final cosmetic and functional outcomes were evaluated using the POSAS.
RESULTS
RESULTS
Flaps survived in all the reported cases and no major complication was recorded. Histology showed complete excision of the tumour in all cases. Using the POSAS, the mean overall evaluation for patients was 1.8/10, while the mean overall evaluation for the evaluation panel was 2.2/ 10.
CONCLUSION
CONCLUSIONS
Although similar flaps have been previously described, the extended rotation flap for nasal ala and tip reconstruction represents a functionally and cosmetically appealing wound closure option, respecting and avoiding any distortion of the alar crease.
Identifiants
pubmed: 34189233
doi: 10.1016/j.jpra.2021.05.004
pii: S2352-5878(21)00046-2
pmc: PMC8220098
doi:
Types de publication
Journal Article
Langues
eng
Pagination
82-88Informations de copyright
© 2021 The Authors.
Déclaration de conflit d'intérêts
The authors declare that they have no conflict of interest..
Références
J Dermatol Surg Oncol. 1986 Feb;12(2):154-8
pubmed: 3944332
Plast Reconstr Surg. 1985 Aug;76(2):239-47
pubmed: 4023097
Plast Reconstr Surg. 2010 Oct;126(4):1222-1231
pubmed: 20885244
Dermatol Surg. 2001 Apr;27(4):409-10
pubmed: 11298717
Dermatol Surg. 2000 Jun;26(6):543-6
pubmed: 10848934
J Craniomaxillofac Surg. 2017 Mar;45(3):432-435
pubmed: 28108241
Eur J Cancer. 2019 Sep;118:10-34
pubmed: 31288208
Int Wound J. 2017 Dec;14(6):1262-1268
pubmed: 28782201
Plast Reconstr Surg. 2005 Aug;116(2):514-22
pubmed: 16079683
Dermatol Surg. 2010;36(1):23-30
pubmed: 19889165
Facial Plast Surg Clin North Am. 2011 Feb;19(1):63-83
pubmed: 21112511
Arch Facial Plast Surg. 2001 Apr-Jun;3(2):91-9
pubmed: 11368658
Dermatol Surg. 2012 Dec;38(12):1968-74
pubmed: 23190386