Abstract
<p class="Abstract">Reconstruction of soft tissue at the nose following excision of basal cell carcinoma is always challenging, because of both functional and aesthetic importance of nose. The local flap is always preferable to skin graft as this produces “like with like” replacement, pliable cover and vascularized tissue over the skeletal framework. In this paper, we discussed six cases of nasal reconstruction with bilobed flap, forehead flap, and nasolabial flap. All flaps survived and the patients had satisfactory outcome.</p>
Highlights
Basal cell carcinoma is the most common nonmelanoma skin cancer.[1]
About 80% of all basal cell carcinoma occur on the face, among which 25% involves the nose due to the cumulative effect of the sunlight.[2,3] considered universal for the nasal defect
Several studies advocated excising the lesion with 0.5 cm margin to achieve 95% cure rate.[4]
Summary
Basal cell carcinoma is the most common nonmelanoma skin cancer.[1]. About 80% of all basal cell carcinoma occur on the face, among which 25% involves the nose due to the cumulative effect of the sunlight.[2,3] considered universal for the nasal defect. Several studies advocated excising the lesion with 0.5 cm margin to achieve 95% cure rate.[4] But this creates an aesthetic challenge for the plastic surgeon as nose possesses significant aesthetic and functional importance. The flap is always preferable than skin grafts as it produces a superior match in color and texture. It has the additional advantage of producing a vascularized soft tissue cover for nasal skeleton and resistant to contractures.[5] The characteristics of skin covering the nose are not homogenous.
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