"Jigsaw Puzzle" Advancement Flap for Repair of a Surgical Defect Involving the Lateral Nasal Ala

Research output: Chapter in Book/Report/Conference proceedingChapter

1 Scopus citations

Abstract

A 69-year-old woman presented with a basal cell carcinoma on the left nasal ala. Closures of the lateral nasal ala are often best achieved by full-thickness skin grafting (FTSG). In cases in which the surgical defect on the nasal skin is adjacent to the cheek, cheek skin can be used as an advancement flap. This chapter describes a technique that demonstrates this principle. The cheek skin adjacent to the defect was used as an advancement flap to repair the defect. Its dog-ears are hidden in a major skin fold and a closure line between the nose and cheek cosmetic units. The advancing tissue was anchored to the deep tissue in the piriform fossa to maintain the nose-cheek contour. Despite the blunting of the alar groove, the "jigsaw advancement" as described here is indeed novel and certainly an alternative to consider in this setting, especially when repair options are limited.

Original languageEnglish (US)
Title of host publicationReconstructive Conundrums in Dermatologic Surgery: The Nose
PublisherWiley
Pages93-95
Number of pages3
ISBN (Print)9781118294956, 9781118272329
DOIs
StatePublished - May 5 2014

Keywords

  • Advancement flap
  • Basal cell carcinoma
  • Full-thickness skin grafting (FTSG)
  • Jigsaw puzzle advancement
  • Lateral nasal ala
  • Piriform fossa
  • Surgical defect

ASJC Scopus subject areas

  • Medicine(all)

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