Bilateral superiorly based malar transposition flaps for nasal tip reconstruction: A case report

David B Roy; Paarth Dodia; Michael Roberts

doi:10.1177/2050313X21993280

Bilateral superiorly based malar transposition flaps for nasal tip reconstruction: A case report

SAGE Open Med Case Rep. 2021 Feb 24:9:2050313X21993280. doi: 10.1177/2050313X21993280. eCollection 2021.

Authors

David B Roy¹, Paarth Dodia², Michael Roberts³

Affiliations

¹ Pine Belt Dermatology and Skin Cancer Center, Petal, MS, USA.
² School of Medicine, William Carey University, Biloxi, MS, USA.
³ Goodman Dermatology P.C., Roswell, GA, USA.

Abstract

The Peng flap was originally described in 1987 as a viable option for re-creation of the convexity of the dorsum and nasal tip in a one step. Defects extending into the sidewall can result in multi-stage procedures. Beustes-Stefanelli in 2015 published a midline-based nasolabial transposition flap utilizing a single-stage repair for large defects of the nasal tip. There is minimal literature on large nasal tip defects repaired in a single stage and few modifications to the Peng flap. In this case, the sidewall involvement on top of the extent of nasal tissue removed limits the various different methods.

Keywords: Surgery; cancer; dermatology; wound.

Publication types

Case Reports