Nasal alar reconstruction with free "accessory auricle"

Area of Science:

• Dermatology
• Plastic Surgery
• Oncology

Background:

• Basal cell epithelioma (BCE) is a common skin cancer.
• Nasal ala involvement presents unique reconstruction challenges.
• Microvascular techniques offer advanced reconstructive options.

Observation:

• A patient presented with basal cell epithelioma affecting the nasal ala.
• The tumor was managed via local excision.
• A significant alar defect resulted post-excision.

Findings:

• Reconstruction of the alar defect was performed using a microvascular accessory auricle graft.
• The microvascular accessory auricle provided a robust and aesthetically pleasing reconstruction.
• Histopathological examination confirmed complete tumor removal.

Implications:

• This case highlights the efficacy of microvascular accessory auricle grafts for nasal ala reconstruction after tumor excision.
• This technique can achieve excellent functional and aesthetic outcomes in challenging facial reconstructions.
• Further studies could explore the long-term results and patient satisfaction with this reconstructive method.