Case Report

Surgical excision with paramedian forehead flap reconstruction in recurrent basal cell carcinoma of the nose

Nathan Aditya Willyanto , Samsul Huda

Nathan Aditya Willyanto
General Surgery Department Internship Programme, Soebandi General Hospital, Jember, Indonesia. Email: nathanaditya210291@gmail.com

Samsul Huda
Head of General Surgery Department, Soebandi General Hospital, Jember, Indonesia
Online First: April 30, 2021 | Cite this Article
Willyanto, N., Huda, S. 2021. Surgical excision with paramedian forehead flap reconstruction in recurrent basal cell carcinoma of the nose. Intisari Sains Medis 12(1): 411-413. DOI:10.15562/ism.v%vi%i.982


Background:  Basal cell carcinoma (BCC) is the most common malignancy worldwide, especially in fair-skinned people. Along with squamous cell carcinoma (SCC), these malignancies are grouped as non-melanoma skin cancer (NMSC). The nose is a common site for BCC because it is exposed to the sun. The rates of recurrence are variable in the literature, between 10% and 67%. The ideal surgical treatment for BCC is complete tumor removal with safety margins. Wide excision of the BCC will leave the nose with a soft tissue defect and sometimes part of cartilage or skeleton, which requires nasal reconstruction.

Case presentation: An 80-year-old female was admitted to the General Surgery Department of Soebandi General Hospital Jember presenting with ulceration on the right side of her nose 4 months before admission. The patient had a previous history of surgical excision on the nose 15 years ago on the nose's left side.

Conclusion: Recurrent cases of BCC are still the main issue in treating BCC. Wide excision of the BCC will leave the nose with a soft tissue defect, which requires nasal reconstruction. The paramedian forehead flap is recommended for defect closure in nasal reconstruction.

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