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Article

Tunneled Island Flaps for the Reconstruction of Nasal Defects: A 21-Case Series

by
Fernando Moro-Bolado
1,*,
Marcos Carmona-Rodríguez
2,
Omar Alwattar-Ceballos
2,
Laura Martínez-Montalvo
2,
María Rogel-Vence
3,
Prado Sánchez-Caminero
2 and
Guillermo Romero-Aguilera
2
1
Department of Dermatology, Marqués de Valdecilla University Hospital, 39008 Santander, Spain
2
Department of Dermatology, Ciudad Real University General Hospital, 13005 Ciudad Real, Spain
3
Department of Dermatology, Virgen del Mar University Hospital, 28016 Madrid, Spain
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2023, 12(23), 7473; https://doi.org/10.3390/jcm12237473
Submission received: 20 October 2023 / Revised: 19 November 2023 / Accepted: 29 November 2023 / Published: 2 December 2023
(This article belongs to the Special Issue Update in Cutaneous Reconstruction: Flaps and Skin Grafting)
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Abstract

(1) Background: The reconstruction of cutaneous defects following surgical procedures in the nasal pyramid presents a challenge due to the limited amount of available tissue. In cases of larger defects, skin from adjacent units is used. Traditionally, two-stage surgical flaps have been employed for reconstructing these defects. Tunnelized island flaps allow for the one-stage surgical reconstruction of nasal pyramid defects, using tissue from the forehead or cheek for the flap. (2) Methods: Descriptive retrospective study of 21 consecutive patients who underwent surgery for defects on the nasal pyramid using tunnelized island flaps. (3) Results: Surgical reconstruction was performed in 21 patients with basal cell carcinomas, 14 of them using the melolabial island flap and 7 using the paramedian forehead island flap. In all cases except one, clear histological margins were obtained. Immediate complications were mild and minor. It is worth noting the trapdoor effect complication, which improved over time in most cases, resulting in a satisfactory cosmetic outcome. No tumor recurrences were observed during an average follow-up period of 17.7 months. (4) Conclusions: Tunnelized island flaps allow for single-stage reconstruction of nasal pyramid defects, yielding excellent cosmetic results by utilizing adjacent skin. This procedure demands a certain level of skill but is associated with minimal complications, making it a valuable alternative in reconstructive dermatological surgery.
Keywords: dermatologic surgery; melolabial island flap; paramedian forehead island flap; nasal pyramid surgery; skin cancer dermatologic surgery; melolabial island flap; paramedian forehead island flap; nasal pyramid surgery; skin cancer
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MDPI and ACS Style

Moro-Bolado, F.; Carmona-Rodríguez, M.; Alwattar-Ceballos, O.; Martínez-Montalvo, L.; Rogel-Vence, M.; Sánchez-Caminero, P.; Romero-Aguilera, G. Tunneled Island Flaps for the Reconstruction of Nasal Defects: A 21-Case Series. J. Clin. Med. 2023, 12, 7473. https://doi.org/10.3390/jcm12237473

AMA Style

Moro-Bolado F, Carmona-Rodríguez M, Alwattar-Ceballos O, Martínez-Montalvo L, Rogel-Vence M, Sánchez-Caminero P, Romero-Aguilera G. Tunneled Island Flaps for the Reconstruction of Nasal Defects: A 21-Case Series. Journal of Clinical Medicine. 2023; 12(23):7473. https://doi.org/10.3390/jcm12237473

Chicago/Turabian Style

Moro-Bolado, Fernando, Marcos Carmona-Rodríguez, Omar Alwattar-Ceballos, Laura Martínez-Montalvo, María Rogel-Vence, Prado Sánchez-Caminero, and Guillermo Romero-Aguilera. 2023. "Tunneled Island Flaps for the Reconstruction of Nasal Defects: A 21-Case Series" Journal of Clinical Medicine 12, no. 23: 7473. https://doi.org/10.3390/jcm12237473

APA Style

Moro-Bolado, F., Carmona-Rodríguez, M., Alwattar-Ceballos, O., Martínez-Montalvo, L., Rogel-Vence, M., Sánchez-Caminero, P., & Romero-Aguilera, G. (2023). Tunneled Island Flaps for the Reconstruction of Nasal Defects: A 21-Case Series. Journal of Clinical Medicine, 12(23), 7473. https://doi.org/10.3390/jcm12237473

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