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Local Flaps in Nasal Reconstruction Following Non-Melanocytic Skin Cancer Ablation
Byeongjun Kim1, Junghyun Lee, Soyeon Jung
1Department of Plastic and Reconstructive Surgery, Hallym University Dongtan Sacred Heart Hospital, Hwaseong, South Korea.
The Journal of Craniofacial Surgery
|May 26, 2026
Summary
Local flaps offer a reliable solution for nasal reconstruction after skin cancer surgery. Careful flap selection ensures optimal aesthetic and structural outcomes, minimizing complications for patients.
Area of Science:
- Plastic Surgery
- Dermatology
- Oncology
Background:
- Nasal defects from non-melanocytic skin cancers are common due to sun exposure.
- Complex nasal defects require reconstruction that restores contour and tissue match.
- Local flaps are superior to skin grafts for nasal reconstruction.
Purpose of the Study:
- To evaluate the efficacy of local flaps in nasal reconstruction post-skin cancer ablation.
- To assess outcomes based on flap selection criteria and defect characteristics.
Main Methods:
- 12 patients underwent wide excision and local flap reconstruction.
- Flap selection was guided by defect location, size, and depth.
- Reconstruction techniques included bilobed, rotation, Limberg, advancement, and nasolabial flaps.
Main Results:
- All patients achieved complete defect coverage with good aesthetic results.
- Minor complications included one case of flap necrosis and one of wound dehiscence.
- No long-term distortion or significant donor-site issues were reported.
Conclusions:
- Local flaps are a reliable and aesthetically effective option for nasal reconstruction.
- Meticulous flap selection based on defect geometry is crucial for optimal results.
- This technique minimizes complications and enhances cosmetic and structural outcomes.
