Nasolabial Flap: Versatile Flap for Basal Cell Carcinoma Nose

Area of Science:

• Dermatology
• Plastic Surgery
• Otorhinolaryngology

Background:

• Basal cell carcinoma (BCC) frequently affects the nose, necessitating effective surgical reconstruction.
• The nasolabial flap is a well-established option for facial reconstruction due to its vascularity and aesthetic potential.

Purpose of the Study:

• To evaluate the suitability and outcomes of the nasolabial flap for reconstructing nasal defects after BCC excision.
• To assess flap survival, cosmetic appearance, and patient satisfaction.

Main Methods:

• A case series of ten patients with nasal BCC underwent surgical excision and reconstruction using a nasolabial flap.
• Biopsy confirmed BCC; underlying cartilage was removed to prevent recurrence. Flap defatting ensured skin texture match.

Main Results:

• All ten nasolabial flaps demonstrated successful survival.
• Excellent cosmetic outcomes were achieved with perfect skin color and texture match, and inconspicuous scarring.
• No trap-door deformities were observed, indicating good aesthetic results.

Conclusions:

• The nasolabial flap is a highly reliable and versatile option for nasal BCC reconstruction.
• Its ability to reach all nasal areas, including the tip, combined with single-stage surgery and superior aesthetics, makes it a preferred choice.