Nasal reconstruction of extensive defect using axial paramedian forehead flap after staged excision for relapsed basal cell carcinoma.

Skin cancers are the most common type of cancer worldwide, with increasing incidence and prevalence in the past decades. It has been aimed to determine the recurrence rates after different treatment options, and the results proved that surgical excision and radiotherapy had the lowest relapse rates, whereas curettage and photodynamic therapy resulted in five-year relapse rates of up to 70%(1). The axial paramedian forehead is the flap of choice for extensive nose defects reconstruction due to its great variability in terms of size and shape of the donor and recipient site. When used as a three-dimensional pattern flap, it will restore not only the dimensions of the defect, but also the proportion and contour of the nose by replacing skin with tissue of similar color, texture and thickness. [ABSTRACT FROM AUTHOR]