Cheek advancement flap for nasal reconstruction following surgical excision of basal cell carcinoma: early outcome and patient satisfaction

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Abstract

Background
Many reconstructive techniques have been used for reconstruction of the nose after wide excision of basal cell carcinoma (BCC) with variable esthetic outcome. Patient satisfaction is a crucial determinant of the reliability of any reconstructive technique.
Aim
The aim of this prospective clinical study was to evaluate the cutaneous cheek advancement flap as a reliable method for nasal reconstruction following wide excision of BCC regarding early postoperative complications and patient satisfaction.
Patients and methods
The current study included 51 patients with BCC at side of nose who are eligible for wide excision and immediate reconstruction using cutaneous cheek advancement flap. Follow-up was planned for 3 months to report early postoperative complications. Esthetic outcome was assessed using Likert score and Vancouver’s scar scale.
Results
The age of the included patients ranged from 46 to 63 years. The current study showed wound infection in 3.9% of patients, seroma occurred in three patients, whereas hematomas occurred in two patients. No total flap loss was reported, whereas partial flap loss occurred in one (1.9%) case. The patients’ overall satisfaction was good, and only two (3.9%) patients showed poor esthetic outcome. There was a strong positive correlation between patients’ evaluation and independent surgeons’ assessment (=0.922).
Conclusion
According to the current results, cheek advancement flap is a feasible and simple method for reconstruction of medium-sized and large-sized defects in the side wall of the nose with minimal postoperative complications and excellent esthetic outcome.

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