MELOLABIAL FOLD INTERPOLATED FLAP FOR RECONSTRUCTION OF COMPLEX NASAL DEFECTS

• Autor(a) principal: Andrade, Pedro
• Data de Publicação: 2011
• Outros Autores: Serra, David, Cardoso, José Carlos, Vieira, Ricardo, Freitas, João Duarte, Figueiredo, Américo
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: https://doi.org/10.29021/spdv.69.3.80

Surgical defects in the nose are often challenging due to difficulty to recruit local skin enough to cover complex or large defects, and skin grafts are not always suitable due to cosmetic impairment. Interpolated flaps are viable options in these cases, consisting in random pattern skin flaps harvested at some distance from the defect that remain connected with the donor site from 10 to 21 days. We report the case of a 71-year-old male diagnosed with a malignant melanoma on the free border of the right nasal ala. Radial excision with margins of approximately 1,5cm was performed, creating a complex full-thickness surgical defect involving not only the free wall and margin of the right nasal ala but also the right soft triangle, nasal lobe and columella, which was reconstructed using a melolabial interpolated flap, with very satisfactory esthetic results both for donor and reconstructed areas. Post-operatory complications were not reported.KEYWORDS – Surgical Flaps; Reconstructive Surgical Procedures; Nose Neoplasms; Melanoma; Skin Neoplasms.