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Revisiting the East-West advancement flap: great for multiple anatomic locations
Milbrey A Parke1, Emily M Powell2, Jose A Cervantes2
1Baylor College of Medicine, School of Medicine, Houston, TX, USA.
Background:
The east-west advancement flap is a simple flap traditionally used to repair Mohs surgery defects on the nose. We aim to demonstrate this flap can be used with good cosmetic outcome and minimal complications on a variety of anatomical sites.
Methods:
This study was a case series of four patients taking place between March 2021 and September 2021 with 4- to 6-week postoperative follow-up.
Results:
Four male patients were included in the study. Repair sites included the helix, chin, wrist, and scalp. All patients and the Mohs surgeon reported satisfaction with the cosmetic outcome at 4- to 6-week postoperative follow-up with no complications.
Conclusion:
The east-west advancement flap is a viable repair option for Mohs surgery defects on a variety of anatomical sites.

