Journal of Aesthetic & Reconstructive Surgery

Partial Nose Reconstruction in Basal-Cell Carcinoma Intervention: Do it Once, Do it Safe, Do it Right

Background: Basal cell carcinoma is the most common skin neoplasm and it is normally located on sun-exposed areas, as the nasal region. The surgical intervention involves two steps, a satisfactory oncologic resection and an adequate reconstruction. Due to the characteristics of the nasal region (absence of skin excess and major role play on functional and aesthetic concerns), in small and medium-sized tumors, a flap based reconstruction is commonly needed. To obtain satisfactory results requires a precise oncologic intervention and the knowledge of a wide range of local flaps.

Methods: We analyzed patients with a primary basal cell carcinoma located at the nasal region, that were treated with an oncologic resection and immediate flap based reconstruction. The oncologic resection was assisted with the analysis of the frozen section margins. All the interventions were performed under local anesthesia regimen. A minimal 6 months follow up was achieved in all cases.

Results: From April 2018 to April 2020, 4 patients were conducted to surgery because of the presence of a small or medium sized primary basal cell carcinoma on the nasal region. All cases had an adequate oncologic resection, confirmed by a pathologist analysis during the intervention. 3 patients went under a single local flap reconstruction, and 1 patient needed two local flaps for achieving a satisfactory tegument restoration. 5 different local and regional flaps were executed and no complications were presented.

Conclusion: Satisfactory results in terms of appropriate oncological and reconstructive surgery could be achieved in patients with small to medium sized basal cell carcinoma of the nasal region, doing one surgical intervention and selecting adequate local flaps.

Author(s):

Carlos A. Cutini Cingozoglu * and Jorge A. Cutini

Abstract | Full-Text | PDF

Share this