Journal of Otorhinolaryngology and Facial Plastic Surgery

Vol. 11 No. 1 (2025)

Reconstruction of Large Nasal Sidewall Defect via Perialar Crescentic Advancement Flap: A Case Report

Journal of Otorhinolaryngology and Facial Plastic Surgery, Vol. 11 No. 1 (2025), 5 May 2025 , Page 1-4
https://doi.org/10.22037/orlfps.v11i1.50795

Abstract

Background: Basal cell carcinoma (BCC) is the most common non-melanoma skin malignancy, which may frequently affect the nasal region. Reconstruction of the nasal sidewall defects presents a significant functional and aesthetic challenge. The modified perialar crescentic advancement (PACA) flap offers a single-stage and reliable surgical option.

Case Presentation: We describe a 61-year-old woman with a 3x3cm BCC on the right side of the nasal side. Following a complete excision with a 5 mm margin, the defect was reconstructed using a modified PACA flap. In the flap design, we utilized the medial cheek as a donor site, with a crescentic excision along the alar groove to achieve optimal contour. The histopathology confirmed complete excision with tumor-free margins. The patient had an uneventful recovery, with satisfactory functional and cosmetic outcomes at 2 months of follow-up.

Conclusion:  The PACA flap is a versatile, reproducible technique for medium to large nasal sidewall defects, allowing excellent aesthetic integration and minimal donor site morbidity.

Keywords:
  • Basal Cell Carcinoma; Head and Neck Neoplasm; Surgical Flaps; Facial Plastic and Reconstructive Surgery; Aesthetics.

How to Cite

Kong, L. S. S., Lo, R., Kumarasamy, G., & Mat Lazim, N. (2025). Reconstruction of Large Nasal Sidewall Defect via Perialar Crescentic Advancement Flap: A Case Report. Journal of Otorhinolaryngology and Facial Plastic Surgery, 11(1), 1–4. https://doi.org/10.22037/orlfps.v11i1.50795

References

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