Nasal reconstruction for malignant melanoma

✍ Scribed by Chin, Bridget S.; Franco, Ramon; Sabin, Steven; Turk, Jon; Erickson, Anne; Ghosh, Bimal C.

• Publisher: John Wiley and Sons
• Year: 1998
• Tongue: English
• Weight: 179 KB
• Volume: 67
• Category: Article
• ISSN: 0022-4790
• DOI: 10.1002/(sici)1096-9098(199804)67:4<265::aid-jso11>3.0.co;2-#

✦ Synopsis

Patients undergoing extensive local excision for nasal melanoma are greatly burdened by the disfigurement of such a procedure. We describe our technique of immediate forehead flap reconstruction in a patient with localized nasal melanoma.

A 67-year-old male presented with a large pigmented lesion on the nose to the Dermatology Service (Fig. 1). Biopsy proved the lesion to be a deep malignant melanoma and the patient was referred to surgery. A wide excision including a portion of the septal cartilage was removed. The septum was approximated with 4-0 chromic suture. Intraoperative duplex ultrasound identified the supratrochlear vessels. The forehead donor site was

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