S N Snow1. 1. Department of Surgery, University of Wisconsin Medical School, Madison, USA.
Abstract
BACKGROUND: Skin cancer involving the nasal tip is fairly common. The repair of these nasal tip defects is often a challenging opportunity. The current range of reconstructive techniques include partial closure and second intention healing to skin grafts and midline forehead flaps. OBJECTIVE: Here we present an interesting method of nasal tip repair harvesting a rotation flap that uses adjacent skin from lateral and upper bridge of nose. METHODS: Using three case studies examples of the rotation flap are demonstrated to reconstruct the nasal tip defects following Mohs surgery for skin cancer. RESULTS: For medium size defects of up to 1 cm in diameter, rotation flaps offer an alternative surgical one-stage method of reconstruction of the nasal tip in selected cases. CONCLUSION: Satisfactory results can often be achieved with a modest amount of planning, intra-, and postoperative care. Rotation flaps possess a circular configuration that allow recapitulation of the natural creases and contours of nasal tip anatomy resulting in aesthetic repairs.
BACKGROUND:Skin cancer involving the nasal tip is fairly common. The repair of these nasal tip defects is often a challenging opportunity. The current range of reconstructive techniques include partial closure and second intention healing to skin grafts and midline forehead flaps. OBJECTIVE: Here we present an interesting method of nasal tip repair harvesting a rotation flap that uses adjacent skin from lateral and upper bridge of nose. METHODS: Using three case studies examples of the rotation flap are demonstrated to reconstruct the nasal tip defects following Mohs surgery for skin cancer. RESULTS: For medium size defects of up to 1 cm in diameter, rotation flaps offer an alternative surgical one-stage method of reconstruction of the nasal tip in selected cases. CONCLUSION: Satisfactory results can often be achieved with a modest amount of planning, intra-, and postoperative care. Rotation flaps possess a circular configuration that allow recapitulation of the natural creases and contours of nasal tip anatomy resulting in aesthetic repairs.