Cavaliere Annachiara, Maisto Barbara, Zaporojan Tatiana, Giordano Ludovica, Sorbino Luigi, Zaffiro Antonio, Vozza Amalia, La Padula Simone, D'Andrea Francesco, Schonauer Fabrizio
Department of Plastic and Reconstructive Surgery, Federico II University Hospital, Via Pansini 5, Napoli, Italy.
JPRAS Open. 2021 May 21;29:82-88. doi: 10.1016/j.jpra.2021.05.004. eCollection 2021 Sep.
Basal cell carcinoma is the most common non-melanoma skin cancer of the nose. Defects of the nasal ala and tip region are among the most difficult to repair due to their intrinsic characteristics.
To present our experience with the extended rotation flap for reconstruction of nasal ala defects and evaluate the outcome using the Patient and Observer Scar Assessment Scale (POSAS).
Twenty-two patients with partial thickness nasal ala defects reconstructed using the extended rotation flap were assessed. Final cosmetic and functional outcomes were evaluated using the POSAS.
Flaps survived in all the reported cases and no major complication was recorded. Histology showed complete excision of the tumour in all cases. Using the POSAS, the mean overall evaluation for patients was 1.8/10, while the mean overall evaluation for the evaluation panel was 2.2/ 10.
Although similar flaps have been previously described, the extended rotation flap for nasal ala and tip reconstruction represents a functionally and cosmetically appealing wound closure option, respecting and avoiding any distortion of the alar crease.
基底细胞癌是鼻部最常见的非黑素瘤皮肤癌。鼻翼和鼻尖区域的缺损因其自身特点，是最难修复的缺损之一。
介绍我们使用延长旋转皮瓣修复鼻翼缺损的经验，并使用患者和观察者瘢痕评估量表（POSAS）评估效果。
评估了22例使用延长旋转皮瓣修复鼻翼部分厚度缺损的患者。使用POSAS评估最终的美容和功能效果。
所有报告病例中的皮瓣均存活，未记录到重大并发症。组织学检查显示所有病例的肿瘤均被完全切除。使用POSAS，患者的平均总体评分为1.8/10，而评估小组的平均总体评分为2.2/10。
尽管此前已有类似皮瓣的描述，但用于鼻翼和鼻尖重建的延长旋转皮瓣是一种在功能和美容方面都具有吸引力的伤口闭合选择，它尊重并避免了鼻翼皱襞的任何变形。
