[Reconstruction of nasogenial defects using a triangular nasolabial advancement flap]

Area of Science:

• Plastic Surgery
• Dermatologic Surgery
• Oncology

Background:

• Basal cell carcinoma (BCC) is a common skin cancer requiring surgical excision.
• Reconstruction of facial defects after BCC excision can be challenging.
• The nasogenial region presents unique reconstructive considerations due to its aesthetic and functional importance.

Observation:

• A specific surgical technique, the triangular subcutaneous pedicle flap, is detailed for defect repair.
• This flap is characterized by ease of dissection and handling.
• The flap's suitability for specific anatomical locations is highlighted.

Findings:

• The triangular subcutaneous pedicle flap is presented as a preferred method for cutaneous defect repair post-BCC excision.
• The flap demonstrates efficacy in reconstructing defects of the lateral nasal wall.
• Successful application in defects of the medial cheek and upper lip is also noted.

Implications:

• This technique offers a reliable and straightforward option for facial reconstruction in plastic and dermatologic surgery.
• The described flap may improve aesthetic and functional outcomes for patients undergoing BCC removal in the nasogenial area.
• Further studies could explore long-term outcomes and variations of this reconstructive approach.