Nasal Dorsum Transposition Flap for Closure of an Alar Rim Defect

Luciana Takata Pontes, Leonard H. Goldberg, Adam J. Mamelak, Arash Kimyai-Asadi

Research output: Chapter in Book/Report/Conference proceedingChapter


A 60-year-old Caucasian presented with islands of atypical basaloid cells with peripheral palisading within the dermis, consistent with a basal cell carcinoma. Mohs micrographic surgery cleared the tumor, but resulted in a surgical defect of the right nasal ala and nasal ala rim. Primary closure of any defect is preferred if it can be accomplished without visible tissue distortion. In this patient there was not enough adjacent skin available for a primary closure. After careful consideration, the doctors decided on a transposition flap from the nasal dorsum to repair a large defect of the right nasal ala and rim, preserving its size, contour, and function. This had the advantage of using adequate local qualitatively similar skin with a self-contained blood supply and the ability to preserve the contour and function of the nasal ala and groove. The secondary defect was closed in a side-to-side fashion, achieving an excellent esthetic result.

Original languageEnglish (US)
Title of host publicationReconstructive Conundrums in Dermatologic Surgery
Subtitle of host publicationThe Nose
Number of pages4
ISBN (Electronic)9781118294956
ISBN (Print)9781118272329
StatePublished - May 5 2014


  • Atypical basaloid cells
  • Basal cell carcinoma
  • Mohs micrographic surgery
  • Nasal ala rim
  • Nasal dorsum transposition flap
  • Surgical defect

ASJC Scopus subject areas

  • Medicine(all)


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