Selection of nasal defect reconstruction techniques after removal of basal cell carcinoma
Notodihardjo SC, Kakudo N, Hihara M, Morimoto N, Kusumoto K. Selection of nasal defect reconstruction techniques after removal of basal cell carcinoma. Am J Med Surg. 2020; 2(3). 11-15.
From the Department of Plastic and Reconstructive Surgery at Kansai Medical University. Osaka, Japan. Received on November 9, 2020. Accepted on November 14, 2020. Published on
Abstract: The most common facial skin cancer among Japanese is basal cell carcinoma, occurring most commonly in the nose area (25.5%). BCC of any type and stage will eventually need surgical removal with a minimum safety margin of 4 mm to reach the optimal cure rate. This procedure leads to important considerations concerning the reconstruction technique after removal by a plastic surgeon. The nose is a unique subunit of the human face due to its functional and aesthetic importance. A proper reconstruction technique suited to the lesion location, defect size and nasal defect is thus necessary for each case. Over the past 14 years and 50 patients, we performed 6 surgical techniques including bilobed flap, Limberg flap, axial frontonasal flap, angular flap, nasolabial flap and skin graft. We also did conservative treatment using artificial dermis and ointment in some cases when the defect size was under moderate and the granulation active. Nasolabial flap is the technique that we used the most, as it is applicable to the nasal defect at multiple subunits area. We herein report cases using nasolabial flap in different areas and a case of conservative treatment following BCC removal in our department.
Keywords: Basal cell carcinoma, head and neck reconstruction, head and neck local flaps