Rickstrew Jace, Neill Brett C, Downing Malia, Cappel Jonathan A, Tolkachjov Stanislav N
Heartland Dermatology, Manhattan, KS, USA.
Swann Dermatology Partners, Springfield, MO, USA.
Int J Dermatol. 2024 Oct;63(10):1421-1426. doi: 10.1111/ijd.17155. Epub 2024 May 14.
The nose is a common site for the development of skin cancers. Mohs micrographic surgery (MMS) is a highly curative treatment for skin cancer of the nose. Reconstruction of MMS defects on the nose, especially on the distal aspect, can be challenging given the proximity of multiple subunits and limited adjacent tissue reservoirs. Our goal was to describe our experience using a nasal tip rotation flap (NTRF) for MMS defects on the distal nose.
A retrospective review of all MMS cases at multiple institutions between June 2018 and June 2022 was undertaken. Cases that used an NTRF to repair the MMS defect(s) were selected, and data were collected on patient demographics, tumor type, anatomical location of the tumor, preoperative and postoperative size, number of stages needed to clear the tumor, repair dimensions, and any postoperative complications.
A total of 66 cases that utilized an NTRF for reconstruction were included. The mean preoperative tumor size was 0.8 cm (range: 0.3-1.6 cm), and the mean defect size was 1.2 cm (range: 0.7-1.9 cm). The defects were most commonly on the nasal tip. There were no significant complications observed.
The nasal tip rotation flap is a reliable reconstruction option for MMS defects of the distal nose. This flap can be used for defects that involve the nasal tip, soft triangle, and/or portions of the ala, including the alar rim.
鼻子是皮肤癌的常见发病部位。莫氏显微外科手术（MMS）是治疗鼻皮肤癌的一种高效疗法。鉴于多个亚单位距离较近且邻近组织储备有限，修复鼻子尤其是远端的MMS缺损可能具有挑战性。我们的目标是描述我们使用鼻尖旋转皮瓣（NTRF）修复远端鼻MMS缺损的经验。
对2018年6月至2022年6月期间多家机构的所有MMS病例进行回顾性研究。选择使用NTRF修复MMS缺损的病例，并收集患者人口统计学资料、肿瘤类型、肿瘤解剖位置、术前和术后大小、清除肿瘤所需的阶段数、修复尺寸以及任何术后并发症的数据。
共纳入66例使用NTRF进行重建的病例。术前肿瘤平均大小为0.8厘米（范围：0.3 - 1.6厘米），缺损平均大小为1.2厘米（范围：0.7 - 1.9厘米）。缺损最常见于鼻尖。未观察到明显并发症。
鼻尖旋转皮瓣是修复远端鼻MMS缺损的可靠重建选择。该皮瓣可用于涉及鼻尖、软三角和/或鼻翼部分（包括鼻翼缘）的缺损。
