European Journal of Molecular & Clinical Medicine

Abstract

Background: Basal cell carcinoma is the most common form of skin cancer and most frequently occurring form of all cancers.it looks like growth with slightly elevated rolled edges or central indentation.lesion commonly arise in sun exposed areas.
Methods: We observed 10 patient who presented with nasal mass  with long standing history. Nasal defects that are too large to repair with other local flaps or full-thickness or composite grafts and defect wider than 2 cm in the horizontal plane or those with exposed and denuded bone and/or cartilage are taken into consideration. Forehead flap reconstruction done with lesser morbidity. Follow up was done till 6 months after flap detachment and inset and results were assessed.
Results: All patients underwent forehead flap reconstruction with good aesthetic outcome                              and lesser morbidity. The flap was viable in all patients with no recurrences. Cosmetic and functional outcomes were good. However few patients developed minor complications like post-operative trismus, severe wound contracture, ectropion and infection and wound dehiscence.
Conclusions: Large defect over nose can be covered with forehead flap with good aesthetic outcomes. It gives ideal quality of color and texture,reduced morbidity and maintained viability,greater versatility in movement and length .