Dermatology Department, Garcia de Orta Hospital , Almada , Portugal.
J Dermatolog Treat. 2014 Oct;25(5):444-5. doi: 10.3109/09546634.2012.755257. Epub 2013 Feb 3.
A 77-year-old man was referred for treatment of a biopsy-proven multirecurrence basal cell carcinoma on the dorsum of the nose. The lesion was removed and the resulting surgical defect involved the full thickness of the nasal skin leaving intact the underlying perichondrium and cartilages of the whole nasal dorsum including both sidewalls (Figure 1). The authors performed a reconstruction of a surgical defect greater than two-thirds of the nose using a single-staged bilateral Burow's wedge flap and a full-thickness skin graft from the glabella. All scars were camouflaged in the natural facial boundaries and the surgical reconstruction was performed in a single stage. The final nasal contour, symmetry and function were still good when the patient was seen 1 year after surgery.
一位 77 岁男性因鼻背部活检证实的多发性复发性基底细胞癌前来就诊。切除了病变，导致的手术缺损累及鼻皮肤的全层，完整保留了整个鼻背的软骨膜和软骨，包括两侧壁（图 1）。作者采用单侧双侧 Burow 楔形皮瓣和眉间全厚皮片移植进行了一项超过三分之二鼻部的单一阶段手术缺损重建。所有疤痕均隐藏在自然面部边界内，手术重建在一个阶段内完成。术后 1 年随访时，患者的鼻部轮廓、对称性和功能仍然良好。
