Background: Basal cell carcinoma is the most common non-melanoma skin cancer of the nose. Defects of the nasal ala and tip region are among the most difficult to repair due to their intrinsic characteristics. Objective: To present our experience with the extended rotation flap for reconstruction of nasal ala defects and evaluate the outcome using the Patient and Observer Scar Assessment Scale (POSAS). Methods and Materials: Twenty-two patients with partial thickness nasal ala defects reconstructed using the extended rotation flap were assessed. Final cosmetic and functional outcomes were evaluated using the POSAS. Results: Flaps survived in all the reported cases and no major complication was recorded. Histology showed complete excision of the tumour in all cases. Using the POSAS, the mean overall evaluation for patients was 1.8/10, while the mean overall evaluation for the evaluation panel was 2.2/ 10. Conclusion: Although similar flaps have been previously described, the extended rotation flap for nasal ala and tip reconstruction represents a functionally and cosmetically appealing wound closure option, respecting and avoiding any distortion of the alar crease.

Extended rotation flap for reconstruction of partial thickness defects of the tip and nasal ala region: in search of better aesthetic results / Cavaliere, A.; Maisto, B.; Zaporojan, T.; Giordano, L.; Sorbino, L.; Zaffiro, A.; Vozza, A.; La Padula, S.; D'Andrea, F.; Schonauer, F.. - In: JPRAS OPEN. - ISSN 2352-5878. - 29:(2021), pp. 82-88. [10.1016/j.jpra.2021.05.004]

Extended rotation flap for reconstruction of partial thickness defects of the tip and nasal ala region: in search of better aesthetic results

Cavaliere A.
;
Maisto B.;Zaporojan T.;Giordano L.;Sorbino L.;Zaffiro A.;Vozza A.;La Padula S.
Membro del Collaboration Group
;
D'Andrea F.;Schonauer F.
2021

Abstract

Background: Basal cell carcinoma is the most common non-melanoma skin cancer of the nose. Defects of the nasal ala and tip region are among the most difficult to repair due to their intrinsic characteristics. Objective: To present our experience with the extended rotation flap for reconstruction of nasal ala defects and evaluate the outcome using the Patient and Observer Scar Assessment Scale (POSAS). Methods and Materials: Twenty-two patients with partial thickness nasal ala defects reconstructed using the extended rotation flap were assessed. Final cosmetic and functional outcomes were evaluated using the POSAS. Results: Flaps survived in all the reported cases and no major complication was recorded. Histology showed complete excision of the tumour in all cases. Using the POSAS, the mean overall evaluation for patients was 1.8/10, while the mean overall evaluation for the evaluation panel was 2.2/ 10. Conclusion: Although similar flaps have been previously described, the extended rotation flap for nasal ala and tip reconstruction represents a functionally and cosmetically appealing wound closure option, respecting and avoiding any distortion of the alar crease.
2021
Extended rotation flap for reconstruction of partial thickness defects of the tip and nasal ala region: in search of better aesthetic results / Cavaliere, A.; Maisto, B.; Zaporojan, T.; Giordano, L.; Sorbino, L.; Zaffiro, A.; Vozza, A.; La Padula, S.; D'Andrea, F.; Schonauer, F.. - In: JPRAS OPEN. - ISSN 2352-5878. - 29:(2021), pp. 82-88. [10.1016/j.jpra.2021.05.004]
File in questo prodotto:
File Dimensione Formato  
Extended rotation flap for nasal ala.pdf

accesso aperto

Tipologia: Versione Editoriale (PDF)
Licenza: Copyright dell'editore
Dimensione 1.26 MB
Formato Adobe PDF
1.26 MB Adobe PDF Visualizza/Apri

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11588/878461
Citazioni
  • ???jsp.display-item.citation.pmc??? ND
  • Scopus 2
  • ???jsp.display-item.citation.isi??? 2
social impact