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DERMATOLOGIC SURGERY ROUNDS: RECONSTRUCTIVE SURGERY EMPLOYING THE SHARK ISLAND FLAP FOR BASAL CELL CARCINOMA
G Tchernev1, KG Jr Tchernev2, D S Krastev3
11Onkoderma - Clinic for Dermatology, Venereology and Dermatologic Surgery, Sofia; 2Department of Dermatology and Venereology, Medical Institute of Ministry of Interior, Sofia, Bulgaria.
Georgian Medical News
|October 10, 2025
Summary
The shark island pedicle flap effectively reconstructs nasal defects after skin cancer removal. This classic dermatologic surgery technique offers excellent functional and aesthetic results, proving superior to newer methods.
Area of Science:
- Dermatologic Surgery
- Plastic and Reconstructive Surgery
Background:
- Reconstructive surgery in sensitive areas is complex, bridging plastic surgery and dermatosurgery.
- Nasal reconstruction requires specialized techniques for optimal outcomes.
Purpose of the Study:
- To evaluate the efficacy of the shark island pedicle flap for nasal ala reconstruction.
- To highlight the benefits of classical reconstructive techniques in dermatologic surgery.
Main Methods:
- Case presentation of a basal cell carcinoma excision on the right nasal ala.
- Reconstruction using a primary shark island pedicle flap.
Main Results:
- Successful functional and aesthetic reconstruction of the nasal ala defect.
- Excellent postoperative results observed at three-month follow-up.
Conclusions:
- The shark island pedicle flap is a reliable option for small to medium nasal defects.
- Carefully executed classical techniques can yield superior results compared to novel approaches.
