Reconstruction of a full-thickness alar defect using a nasolabial flap combined with hinge flap

Abstract

The nasal region is a frequent site of keratinocyte carcinomas. Its peculiar anatomy, contour, and three-dimensionality make surgical repair challenging. Eventually, in situations of greater complexity, a single technique may not be sufficient to restore the original anatomy, requiring the association of methods. This article describes a strategy for reconstructing a full-thickness alar defect, including the nasal margin, based on the combination of a nasolabial transposition flap with a hinge flap. It is a safe procedure, dependent on the mobilization of local tissue and performed in a single surgical procedure.

Keywords

• surgical flaps
• nose neoplasms
• skin neoplasms
• mohs surgery
• carcinoma
• basal cell