Case 2: Nasolabial flap – 2 steps
Authors: Liv Schöllhammer, MD, Frederik Gulmark Hansen, med.stud. and Magnus Balslev Avnstorp, MD
40 years old male with basal cell carcinoma on the right nasal alae.
Before and after
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Step 1: Pre operative drawing
The tumor is marked and a surgical margin of 4 mm is drawn and marked in the anterior part (3 o’clock).
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Step 2: Excision
The tumor is excised and the defect reconstructed in two steps using a nasolabial flap.
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Step 3: Flap drawing
Drawing for the nasolabial flap
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Step 4: Closure
Closure of the nasolabial flap
- In step 1 the flap keeps the blood supply.
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Step 5: Follow-up surgery
4 weeks after step one, the flap tissue has made collateral blood supply. Step 2 is then initiated
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Step 6: Excision
In step 2 the flap is divided and the donor site is closed.
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Step 7: Immediate post operative result
The final result