Island Pedicle Flaps for Repair of a Nose, Cheek, and Lip Defect

Richard A. Krathen, Daniel Behroozan, Leonard Harry Goldberg

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

This chapter discusses the case of a 72-year-old woman with a basal cell carcinoma of the left lateral nasal ala, which was excised after Mohs micrographic surgery, but resulted in full-thickness defect. This defect involved three cosmetic subunits: the lateral nasal ala including the alar rim, the upper lateral cutaneous lip, and the medial cheek at the nasolabial fold. A closure using a combination of two random-axis adjoining island pedicle flaps was designed. An island pedicle flap was incised inferiorly along the lateral lip. Closure of the lateral alar defect was accomplished with a slightly modified island pedicle flap from the medial aspect of the nasal ala and dorsum. The postoperative course was uncomplicated and sutures were removed 1 week later with a very satisfactory cosmetic outcome seen at 2 months.

Original languageEnglish (US)
Title of host publicationReconstructive Conundrums in Dermatologic Surgery: The Nose
PublisherWiley
Pages131-134
Number of pages4
ISBN (Print)9781118294956, 9781118272329
DOIs
StatePublished - May 5 2014

Keywords

  • Basal cell carcinoma
  • Island pedicle flap
  • Lateral cutaneous lip
  • Lateral nasal ala
  • Lip defect
  • Medial cheek
  • Mohs micrographic surgery
  • Nose defects

ASJC Scopus subject areas

  • Medicine(all)

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