WORLD JOURNAL OF PLASTIC SURGERY
Thu, Oct 15, 2026
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Volume 15, Issue 2 (2026)
WJPS 2026, 15(2): 102-104 |
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Namazi M R, Parvizi M M, El Husseini M. Columellar O to T Flap for Surgical Management of a Basal Cell Carcinoma of the Distal. WJPS 2026; 15 (2) :102-104
URL: http://wjps.ir/article-1-1681-en.html
URL: http://wjps.ir/article-1-1681-en.html
1- Molecular Dermatology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
2- Dermatology Department, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
2- Dermatology Department, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
Abstract: (399 Views)
The reconstruction of the nasal tip is widely identified to be a complex challenge due to the convex topography of the region and the limited access to adjacent tissue of adequate laxity . Because of the thick, sebaceous nature of the nasal tip skin and its adherence to the underlying cartilaginous framework, recruiting local tissue carries a high risk of displacing the alar rim, a free margin that is susceptible to distortion from tension vectors . Therefore, the primary goal of reconstruction in this area is to make use of a design where opposing rotational forces recruit tissue of similar nature medially, effectively neutralizing tension and thus preventing distortion of the nostrils or deviation of the nasal tip.
References
1. Stigall L, Zitelli J. Reconstructing the nasal tip. Br J Dermatol 2014;171:23-8. [DOI:10.1111/bjd.13208]
2. Leonard AL, Hanke CW. The Anchor Flap: A Myocutaneous, Biaxial Pattern Flap for Postsurgical Defects of the Nasal Dorsum and Tip. Dermatol Surg 2007;33(9):1110-5. [DOI:10.1111/j.1524-4725.2007.33227.x]
3. Park YJ, Kwon GH, Kim JO, Ryu WS, Lee KS. Reconstruction of nasal ala and tip following skin cancer resection. Arch Craniofacial Surg 2019;20(6):382-7. [DOI:10.7181/acfs.2019.00486]
4. Greenbaum SS, Greenbaum CH. An Alternative for Nasal Tip Reconstruction: The Bilateral Rotation Flap. J Dermatol Surg Oncol 1991;17(5):455-9. [DOI:10.1111/j.1524-4725.1991.tb03982.x]
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