DERMATOLOGIC SURGERY ROUNDS: RECONSTRUCTIVE SURGERY EMPLOYING THE SHARK ISLAND FLAP FOR BASAL CELL CARCINOMA AFFECTING THE NASAL ALA.

Abstract

Reconstructive techniques in dermatologic surgery represent some of the most complex and high-risk interventions, particularly when involving anatomically and cosmetically sensitive areas. These procedures can be considered an intermediate link, combining the expertise of both plastic-reconstructive and dermatosurgical fields. The shark flap in the nasal region offers an excellent option for the reconstruction of small to medium-sized defects involving the nasal area and the nares. Following established surgical algorithms and methodical operative steps ensures optimal functional and aesthetic outcomes. We present a case of a primary defect following in the right nasal ala, following basal cell carcinoma excision, successfully reconstructed both functionally and aesthetically using a shark island pedicle flap. The postoperative results at the three-month follow-up were excellent. With this report and short update on the topic, we highlight that a carefully executed classical procedure can, in many cases, provide superior functional and aesthetic outcomes compared to modified or novel techniques.