Bilobed Flap for Reconstruction in Nasal Tip of Basal Cell Carcinoma

Abstract

Introduction: Basal cell carcinoma (BCC) is a locally aggressive, slow-growing tumor that arises from the basal layer of the epidermis. The most important location of facial skin cancer is in the nose area. This is due to the cumulative exposure to the sun's rays in that area. Standard surgical excision remains the "gold standard" for primary BCC lesions, as it is capable of complete removal of the tumor, and can take samples for histopathological analysis to ensure that the tumor has been completely excised. The bilobed flap is a local transposition flap used primarily for the reconstruction of small to medium sized nasal skin defects.

Objectives: A case involving a 55-year-old female was referred to Pelamonia Hospital, Makassar with mass in nasal tip. This patient complained of mass in nasal tip since 1 year ago.

Methods: Case Report, A case involving a 55-year-old female was referred to Pelamonia Hospital, Makassar with mass in nasal tip. This patient complained of mass in nasal tip since 1 year ago. The mass initially small like a mole, gradually enlarged. The patient's condition was stable, with nasal tip mass, fragile, and easy to bleed were found during examination. No congestion and the mucosa is normal on anterior rhinoscopy findings.

Results: Biopsy findings from nasal tip revealed it is basal cell carcinoma. A contrast head MSCT showed soft tissue mass in the right nasal cavity that may destroy the right inferolateral cartilage. No hypo/hyperdense lesions in the cerebral parenchyma.

Conclusions: The patient was then treated with wide excision followed by bilobed flap on her nasal tip. The surgery was successful and the patient managed to go home after day 3 post-surgery. Post operation histopathologycal finding concludes it was basosquamous cell carcinoma.