What question did this study set out to answer?

The aim is to report on the effectiveness of the modified perialar crescentic advancement flap in nasal reconstruction after basal cell carcinoma removal.

February 2, 2026

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

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The aim is to report on the effectiveness of the modified perialar crescentic advancement flap in nasal reconstruction after basal cell carcinoma removal.
Complete excision of basal cell carcinoma with 5 mm margins.
Reconstruction using a modified PACA flap designed from the medial cheek.
Crescentic excision along the alar groove for optimal contour.
Histopathological confirmation of tumor-free margins.
Two months of follow-up to assess recovery and outcomes.
Histopathology confirmed complete excision with tumor-free margins.
The patient experienced an uneventful recovery.
Functional and cosmetic outcomes were deemed satisfactory at follow-up.

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Implication

A case report demonstrates successful nasal reconstruction using the PACA flap in an adult woman, suggesting its reliability for similar defects.

Cite This Study

Kong et al. (2025) studied this question.

synapsesocial.com/papers/6980feb9c1c9540dea811155 https://doi.org/10.22037/orlfps.v11i1.50795

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Implication

A case report demonstrates successful nasal reconstruction using the PACA flap in an adult woman, suggesting its reliability for similar defects.

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

Key Points

Discussion

Implication

Cite This Study

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

Key Points

Discussion

Implication

Cite This Study

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