Abstract
OBJECTIVE: To present a naso-glabello-frontal advancement modification of the dorsal advancement (Rintala) flap for reconstruction of an unusual case of chondroid syringoma occurring at the nasal tip.
 METHODS:
 Design: Case report
 Setting: Tertiary Government Training hospital
 Patient: One
 RESULTS: A 23-year-old man who presented with a nasal tip mass initially diagnosed as a benign adnexal tumor underwent excision and reconstruction with a naso-glabello-frontal advancement flap modification of the dorsal advancement flap with median brow lift. The procedure resulted in nasal tip reconstruction with minimal scars, including a horizontal upper medial brow margin scar that eventually became less apparent. Final histopathology revealed a rare benign mixed tumor, chondroid syringoma.
 
 CONCLUSION: The naso-glabello-frontal advancement flap is a one-stage procedure that can be used to reconstruct such a cutaneous nasal defect after tumor excision. The modification observes nasal aesthetic subunits and may have a better aesthetic outcome than traditional rotational flaps or advancement flaps.
 
 Keywords: rhinoplasty, surgical flaps, sweat gland neoplasm
 
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