Nasolabial Transposition Flap for Reconstruction of Oncological Defects of the Cheek: Regarding a Case

Abstract

Skin flaps from the surrounding area, respecting the aesthetic units and subunits of the face, provide a tissue rich in vascularization; it is a challenge for the surgeon, requiring a deep understanding of the anatomy, danger zones, corresponding function of each muscle and the reconstructive techniques available to achieve functionally and aesthetically satisfactory results. A 56-year-old female presents with a history of schizophrenia, epilepsy and surgical resection of a left frontal meningioma. She presents with a pigmented, ulcerated lesion of approximately 3 × 3 cm in diameter on the right cheek that had been growing for the last several months. Patients underwent removal of the skin tumor with a 0.5 mm safety margin throughout its length, resulting in a defect affecting the medial region of the right infraorbital cheek. The surgical technique consisted of reconstructing that defect with a nasolabial transposition flap. Pathology reports ulcerated metatypical basal cell carcinoma (BCC) with free margins. Due to good postoperative progress, the patient is discharged. 25 days after surgery, we can demonstrate good aesthetic results.