PMC8812609_01
A 69-year-old man with a history of basal cell carcinoma on the left ala for 2 years. Different steps of the operation and postoperative follow-up (25 months). (a) Preoperative design. The red line shows the location of the facial artery. (b,c) Dissection of the round rotational flap and V-Y advancement island pedicle flap. The white arrow indicates the perforating branch of the facial artery. (d) Flaps are sutured into the defect using a dermal suture with 5-0 absorbable sutures. (e,f) Appearance at 25 months after the operation.
fsurg-08-796990-g0002.jpg
PMC8812609_01_fsurg-08-796990-g0002.jpg
F2
In addition, the alar tissue was compliant and bilateral symmetries of the alae and nasolabial grooves were satisfactory (Figure 2).
PMC8812609_02
A 51-year-old man with a history of basal cell carcinoma on the right ala for 7 months. (a) Preoperative design. The red line shows the location of the facial artery. (b) Dissection of the round rotational flap and V-Y advancement island pedicle flap. (c) Flaps are sutured into the defect using dermal suture with 5-0 absorbable sutures and a skin suture with 6-0 nylon suture. (d) Appearance at 13 months after the operation.
fsurg-08-796990-g0003.jpg
PMC8812609_02_fsurg-08-796990-g0003.jpg
F3
The patient was followed for 13 months, with no tumor recurrence, and the surgical results were satisfactory (Figure 3).
PMC8812609_03
A 70-year-old man with a history of basal cell carcinoma on the left ala for 1 year. Application of the sequential flap in a third patient. (a) Preoperative design. (b,c) Dissection of the round rotational flap and V-Y advancement island pedicle flap. (d) Flaps are sutured into the defect using a dermal suture with 5-0 absorbable sutures. (e,f) Appearance at 17 months after the operation.
fsurg-08-796990-g0004.jpg
PMC8812609_03_fsurg-08-796990-g0004.jpg
F4
The patient was followed for 17 months, with no tumor recurrence, and satisfactory results were achieved (Figure 4).