Cortés-Gutiérrez LE, García-Ávalos ER, Rubio-Arteaga LA, Rosales-Nieto AC, Naranjo-Hernández JD

Language: Spanish
References: 17
Page: 32-37
PDF size: 370.78 Kb.

ABSTRACT

Basal cell carcinoma accounts for almost 80% of skin cancers. The incidence increases with age, probably due to the cumulative effect of prolonged sun exposure. The areas of the head and neck exposed to the sun are the sites commonly affected by such carcinoma. Surgical excision with complete removal of the lesion, achieved either with safety margins or with micrographic control, is considered the most effective treatment. The case of a patient with a pre-surgical diagnosis of basal cell carcinoma in the right nasal wing, at the level of subunit 2c is shown. It represented a surgical challenge owing to clinical characteristics with suspected invasion of deep tissues (alar cartilage) and was also established as an area for complicated functional and aesthetic reconstruction. Firstly, a nasolabial interpolation flap was made to reconstruct the defect; and secondly, the flap was made independent, obtaining a good aesthetic and functional result. The nasolabial transposition flap is an appropriate option for the reconstruction of defects that affect the nasal wing.

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