Authors: Defect Reconstruction Using Transpositional Flap Following Surgery for Nasal Basal Cell Carcinoma


Introduction: Basal cell carcinoma (BCC) is the most common skin malignancy that arises from unkeratinized basal cells in the epidermis. It occurs mostly on the head and neck (80%) and nose (30%). The lesion is locally invasive, destructive, and has a slow growth. Moh’s micrographic surgery is the standard option in treating BCC.

Case Summary: A 51-year old woman came with a 3 cm hyperpigmented plaque with an irregular border, central ulceration, and destruction of the left nasal region. The patient was diagnosed with BCC and the lesion was excised with modified Moh’s micrographic surgery. Subsequently, the defect was closed using transposition flap from the forehead and nasolabial fold. No complications were observed until two weeks post surgery.

Conclusion: This case shows that defect closure using transposition flap gave a cosmetically satisfying result with no recurrence.





Basal cell carcinoma, transposition flap

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