Background: Nasal reconstruction following skin cancer removal is challenging. Performing reconstruction under local anesthesia offers significant advantages. Objective: This study examined repair strategies for nasal skin cancers treated by three academic Mohs micrographic surgeons. Methods and materials: A retrospective review of records was performed for patients with nasal skin cancers (1/12018-2/1/2023). Patient, cancer, and repair characteristics were analyzed using descriptive statistics. The likelihood of repair strategies and surgical outcomes was determined using logistic regression. Results: This study included 575 patients. Defects on the proximal nose were commonly repaired using complex linear closures and advancement flaps. Defects on the ala and tip had varied repair strategies, including staged interpolation and transposition flaps, skin grafts, and cartilage grafts. The rate of complications and contour deformities was 3.83% (n = 22/575) and 6.26% (n = 36/575), respectively. Conclusion: Subunits with few variations in contour can be repaired using linear closures and advancement flaps; however, subunits with variations in contour require more complex repairs.
Bawany et al. (Sat,) studied this question.
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