PMC5726708_01
A: Defect involving the right side of the dorsum of the
nose and part of the right nasal ala. B: Nasolabial
island flap tunneled through the right side of the nose in order to
reach the primary defect. C: Donor area scar in a
transition area of cosmetic units. D: Fifteen months
after surgery
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PMC5726708_01_abd-92-05-s1-0151-g01.jpg
f1
Fifteen months after the procedure there were no signs of recurrence of the SCC and the final result was considered satisfactory by the patient and by the surgical team (Figure 1).
A: Island flap designed on the nasolabial fold.
B: Subcutaneous flap dissected in the superior
nasolabial area and then tunneled through the right nasal ala.
C: Nine months after surgery, significant trapdoor
effect. D: Improvement of the trapdoor effect three
months after intralesional corticosteroid injection
abd-92-05-s1-0151-g02.jpg
PMC5726708_01_abd-92-05-s1-0151-g02.jpg
f2
A significant trapdoor effect could be seen, despite the frequent massaging of the flap, that improved after intralesional corticosteroid (Figure 2).
PMC5726708_02
A: Deep defect on the medial canthus after radical
excision of the tumor. B: Glabellar island flap
mobilized through the subcutaneous tunnel created in the nasal
bridge. C: Repair of the concavity of the medial
canthus. D: Fourteen months after surgery
abd-92-05-s1-0151-g03.jpg
PMC5726708_02_abd-92-05-s1-0151-g03.jpg
f3
There was a mild trapdoor effect that, however, did not worry the patient (Figure 3).