Abstract
Basal cell carcinoma (BCC) is the most common skin cancer. When located in the nasal region and the resulting defect is greater than 3 centimeters becomes challenging for the dermatological surgeon. The pinwheel technique (PWT) is a rotating flap to correct defects, mainly on the scalp, but we use it to close two nasal defects after CBC excision.
Highlights
Basal cell carcinoma (BCC) is the most common skin cancer
We report two cases of patients with nasal BCC, in which we chose the pinwheel technique (PWT) for reconstruction, with satisfactory aesthetic results
The lesion was excised with safety margins of 5 mm
Summary
Basal cell carcinoma (BCC) is the most common skin cancer. When located in the nasal region and the resulting defect is greater than 3 centimeters becomes challenging for the dermatological surgeon. The pinwheel technique (PWT) is a rotating flap to correct defects, mainly on the scalp, but we use it to close two nasal defects after CBC excision. Basal cell carcinoma (BCC) is the most common type of skin câncer [1]. As for the reconstruction of larger defects, greater than 30 millimeters (mm), in the nasal region, still become more challenging for the dermatological surgeon, due to local characteristics such as rigid structure and little mobility [3]. Pinwheel technique (PWT) is a flap with rotation flaps created to correct circular defects in the scalp, a place that has limited skin mobility [4,5]. We report two cases of patients with nasal BCC, in which we chose the PWT for reconstruction, with satisfactory aesthetic results. The purpose of the case report is to demonstrate an option of the technique to correct wide defects in the nasal region (not yet described for the region), with easy execution and a good level of patient satisfaction
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