Abstract
Repairing surgical defects of the nasal tip is challenging, mainly because of the lack of freely mobile skin available peripherally. The Peng flap is a one-stage cutaneous flap that circumvents this difficulty by recruiting skin from the nasal dorsum and sidewall regions. The design produces a tridimensional shape perfectly adapted to the conFiguretion of the nasal tip and allows for an inconspicuous closure of the defect. Herein, we describe a modified version of a Peng flap in a single-stage procedure, performed in three patients subjected to excison of basal cell carcinomas
Highlights
Basal cell carcinoma (BCC) is the most common non-melanoma skin cancer affecting the head and neck regions. 1 Nearly 80% of all BCCs arise in the facial region, with up until 30% of these, occurring in the nose. 2 Surgical excision is the treatment of choice; it is often challenging to close the surgical defects when they are located in the nasal tip, mainly due to the lack of elastic and mobile skin at the defect’s periphery so that direct suture can be performed
This paper describes 3 cases of women with full thickness surgical defects located in the nasal tip, resulting from the excision
3 This flap’s fundamental concept is a “pincer-like” modification applied to the Rintala flap, classically used to repair defects on the nasal dorsum and tip
Summary
The purpose of the present article is to describe this reconstruction technique, demonstrate its aesthetic results and discuss its surgical applicability in light of the literature and the authors’ experience
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