Turnover flap variations in the reconstruction of full-thickness nasal ala defects

Paola Monari; Alessandra Petruzzellis; Sara Mezzana; Simone Soglia; Pier Giacomo Calzavara-Pinton; Luca Bianchi; Giulio Gualdi

doi:10.4081/dr.2023.9848

Authors

Paola Monari
paola.monari@libero.it
Department of Dermatology, ASST Spedali Civili di Brescia, University of Brescia, Italy. https://orcid.org/0000-0002-5854-3732
Alessandra Petruzzellis Dermatology Unit, Policlinico Tor Vergata, University of Rome Tor Vergata, Rome, Italy. https://orcid.org/0000-0002-6637-2355
Sara Mezzana Department of Dermatology, ASST Spedali Civili di Brescia, University of Brescia, Italy. https://orcid.org/0009-0007-0419-6193
Simone Soglia Department of Dermatology, ASST Spedali Civili di Brescia, University of Brescia, Italy. https://orcid.org/0000-0002-2882-2036
Pier Giacomo Calzavara-Pinton Department of Dermatology, ASST Spedali Civili di Brescia, University of Brescia, Italy. https://orcid.org/0000-0002-0935-7204
Luca Bianchi Dermatology Unit, Policlinico Tor Vergata, University of Rome Tor Vergata, Rome, Italy.
Giulio Gualdi Dermatologic Clinic, Department of Medicine and Aging Science, University G. D’Annunzio Chieti-Pescara, Italy. https://orcid.org/0000-0002-1640-6609

The nose is a vital organ and an important aesthetic unit, being placed in the middle of the face. It is also one of the most frequently site involved by skin cancer, and surgical reconstruction can be sometimes challenging. We present two cases of full thickness nasal ala defect, managed with turnover flap with and without earlobe cartilage graft.

Lane JE, Bob Hsia LL, Merritt BG. Reconstruction of Large Transmural Nasal Defects With a Nasolabial Turnover Interpolation Flap. Dermatol Surg. 2020;46:899-903.

Gualdi G, Monari P, Crotti S, et al. Matter of margins. J Eur Acad Dermatol Venereol. 2015;29:255-261.

Monari P, Damiani C, Ariasi C, et al. Dermatochirurgie - Tricks of the Trade / Dermatosurgery - Tricks of the Trade: Nasolabial folded flap for reconstruction of full-thickness alar defect of the nose. J Dtsch Dermatol Ges. 2023;21:1246-48.

Unlü RE, Orbay H, Ylmaz AD, et al. A new approach to alar rim defects: mucocartilaginous turnover flap. J Craniofac Surg. 2007;18:661-4

Kim HS, Kim WS, Kim HK, et al. Reconstruction of a Full-thickness Lateral Alar Defect Using a Superiorly Based Folded Nasolabial Flap Without a Cartilage Graft: A Single-stage Operation. J Craniofac Surg. 2021;32:e162-e165.

Monari, P., Petruzzellis, A., Mezzana, S., Soglia, S., Calzavara-Pinton, P. G., Bianchi, L., & Gualdi, G. (2023). Turnover flap variations in the reconstruction of full-thickness nasal ala defects. Dermatology Reports, 16(3). https://doi.org/10.4081/dr.2023.9848