Bridge flap repair for central nasal dorsum defect

Area of Science:

• Plastic Surgery
• Dermatologic Surgery
• Oncology

Background:

• Nasal reconstruction after skin cancer extirpation frequently necessitates local flaps.
• Infiltrative squamous cell carcinoma poses reconstructive challenges due to its aggressive nature.

Observation:

• A specific nasal defect arose post-excision of incompletely removed infiltrative squamous cell carcinoma.
• The defect required a robust and reliable reconstructive technique.

Findings:

• A Bridge flap, characterized as a bipedicled and subcutaneous islanded flap, was employed for repair.
• This flap demonstrated excellent vascularity, facilitating reliable reconstruction and rapid mobilization.
• Dependable aesthetic and functional results were achieved using the Bridge flap.

Implications:

• The Bridge flap is a viable and effective option for nasal reconstruction following skin cancer surgery.
• This technique offers a reliable solution for complex defects, particularly those arising from infiltrative squamous cell carcinoma.
• Further research into flap vascularity and patient outcomes in nasal reconstruction is warranted.