COMBINED CERVICOFACIAL ADVANCEMENT AND COMPOSITE FOREHEAD FLAP RECONSTRUCTION OF THE CHEEK NOSE REGION FOLLOWING EXCISION OF BASAL CELL CARCINOMA – A CASE REPORT

Abstract

Large facial defects are difcult to reconstruct especially of the cheek and nose. Varoius methods have been used to ll defects of the face. Here, we discuss about a large soft tissue defect of the cheek, nasolabial area and the right nasal sidewall and ala which occurred following excision of a basal cell carcinoma. The defect was reconstructed by a double ap, a cervicofacial advancement ap for the cheek and nasolabial area with a composite forehead ap for the nose. The cervicofacial ap gives good aesthetic results with minimal scar and good colour and texture match to the surrounding skin and is very helpful in the elderly due to their skin laxity and the scars hidden well in the wrinkles. It causes minimal morbidity. The forehead ap is a well known ap in the armamentarium for nasal reconstruction with excellent results.