MELOLABIAL FOLD INTERPOLATED FLAP FOR RECONSTRUCTION OF COMPLEX NASAL DEFECTS

  • Pedro Andrade Interno do Internato Complementar de Dermatologia e Venereologia/Resident, Dermatology and Venereology
  • David Serra Interno do Internato Complementar de Dermatologia e Venereologia/Resident, Dermatology and Venereology
  • José Carlos Cardoso Assistente Hospitalar de Dermatologia e Venereologia/Consultant, Dermatology and Venereology
  • Ricardo Vieira Assistente Hospitalar de Dermatologia e Venereologia/Consultant, Dermatology and Venereology
  • João Duarte Freitas Chefe de Serviço de Dermatologia e Venereologia/ Consultant Chief, Dermatology and Venereology
  • Américo Figueiredo Director de Serviço; Professor Doutor de Dermatologia e Venereologia dos Hospitais da Universidade de Coimbra/ Head of Dermatology Department; Professor of Dermatology and Venereology of Coimbra University Serviço de Dermatologia, Hospitais da Universidade de Coimbra, EPE, Coimbra, Portugal
DOI: https://doi.org/10.29021/spdv.69.3.80

Abstract

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.

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Published
2011-09-28
How to Cite
Andrade, P., Serra, D., Cardoso, J. C., Vieira, R., Freitas, J. D., & Figueiredo, A. (2011). MELOLABIAL FOLD INTERPOLATED FLAP FOR RECONSTRUCTION OF COMPLEX NASAL DEFECTS. Journal of the Portuguese Society of Dermatology and Venereology, 69(3), 437. https://doi.org/10.29021/spdv.69.3.80
Issue
Vol 69 No 3 (2011): Julho - Setembro
Section
Surgical Dermatology

All articles in this journal are Open Access under the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0).

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