PMC4508383_01
(a) Right ala nasi defect after wide excision of squamous cell carcinoma. (b) The nasolabial artery perforator flap was elevated showing its perforator (arrow). (c) Immediate postoperative photo. (d) Follow-up clinical photo 3 years after surgery.
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fig1
A 68-year-old male patient with squamous cell carcinoma on his right ala nasi underwent wide excision with a 3-5 mm surgical margin (Figure 1(a)). The flap was carefully dissected under loupe magnification and advanced to the defect area (Figures 1(b) and 1(c)). No tumor recurrence was observed during the 3-year follow-up period, and the patient was satisfied with the results aesthetically (Figure 1(d)).
PMC4508383_02
(a) Basal cell carcinoma on the left ear concha. (b) Skin defect after wide excision of tumor. (c) The retroauricular flap and subcutaneous tunnel between the defect and flap are shown. (d) Immediate postoperative clinical photo. (e) The donor site was closed directly. (f) At 5-year follow-up, the patient was satisfied with the level of scarring.
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fig2
A 65-year-old woman admitted to our department presented with basal cell carcinoma on the left ear concha (Figure 2(a)). The mass was excised with a 3-5 mm surgical margin (Figure 2(b)). To cover the defect, a posterior auricular artery perforator flap was elevated and inset in a flip-flop manner (Figures 2(c) and 2(d)). The donor site was closed directly (Figure 2(e)). The procedure produced aesthetically satisfactory results, and no complications or recurrences were observed during the 5-year follow-up (Figure 2(f)).