East-West Flap After Mohs Micrographic Surgery.

Area of Science:

• Plastic Surgery
• Dermatologic Surgery

Background:

• Repairing distal nasal defects after Mohs surgery presents a reconstructive challenge.
• Various surgical techniques exist for nasal defect closure.

Observation:

• This study presents three cases utilizing the east-west flap for distal nasal defect repair.
• The east-west flap is an advancement flap with a superior triangle for defect coverage and an inferior triangle along the advancement line.

Findings:

• The east-west flap facilitates optimal cosmetic outcomes in nasal reconstruction.
• This method involves minimal tissue displacement, thereby preserving natural nasal architecture.
• Suture lines created with the east-west flap are well-camouflaged, enhancing aesthetic results.

Implications:

• The east-west flap is a valuable and easily conceived technique for surgeons performing nasal defect reconstruction.
• It offers a method for achieving superior cosmetic results while maintaining nasal form.
• This flap technique contributes to improved patient outcomes in Mohs surgery reconstruction.