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Published on: June 20, 2018
Combination repair of nasal ala and nasolabial fold defects following Mohs micrographic surgery
Jose A Cervantes1, Sidra Deen2, Ikue Shimizu3
1Ironwood Dermatology, Oro Valley, AZ, USA.
Background:
Repair of excisional defects involving the nose and cheek requires thoughtful planning to maintain the natural contour of the anatomical sites and optimize cosmetic outcomes. We aim to demonstrate that a combination repair of defects involving the ala and nasolabial fold with a full-thickness skin graft and a local flap can be used with good cosmesis and minimal complications.
Methods:
This is a case report of a patient with skin cancer on the left ala and left nasolabial fold who underwent Mohs micrographic surgery for tumor extirpation.
Results:
The patient and the Mohs surgeon reported satisfaction with the cosmetic and functional outcomes at the 6-month postoperative follow-up with no complications.
Conclusion:
The use of a full-thickness skin graft from a standing tissue cone and a cheek crescentic advancement flap is a viable repair option for Mohs micrographic surgery defects involving the ala and nasolabial fold.
