Clinical Study

Advancement Perforator Cheek Flap for Aesthetic One-Stage Reconstruction of Postoncological Extended Split-Thickness Defects of the Nasal Sidewall

Figure 1

Patient no. 2 showed in Table 1. (a) Basal cell carcinoma of the left nasal sidewall and dorsum marked for the excision; (b) 2.6 × 2.8 cm defect after tumor resection. Advancement cheek flap designed with inferior incision outlined in the nasofacial sulcus and melolabial crease and superior incision placed in the inferior bony orbital rim. (c) Flap elevated from the medial border in a subcutaneous plane. Green arrows indicate the placement of the two adsorbable anchor sutures. (d) Intraoperative final result. Red arrow indicates the Burow’s triangle excised from the inferomedial aspect of the flap to recreate alar-facial sulcus.