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Vol. 110. Issue 9.
Pages 759-762 (November 2019)
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Vol. 110. Issue 9.
Pages 759-762 (November 2019)
Brief Comunication
DOI: 10.1016/j.adengl.2019.07.018
East-West Flap After Mohs Micrographic Surgery
Colgajo este-oeste después de la cirugía micrográfica de Mohs
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J. Magliano, M.P. Abelenda, J. Navarrete
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jnavarrete90@gmail.com

Corresponding author.
, C. Bazzano
Cátedra de Dermatología, Hospital de Clínicas Dr. Manuel Quintela, Universidad de la República, Montevideo, Uruguay
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Abstract

Repair of distal nasal defects resulting from Mohs micrographic surgery is a challenge, but surgeons can choose from a number of techniques. We present 3 cases in which an east-west flap was used to close the defect. The east-west flap is an easily conceived advancement flap that consists of a superior triangle used to cover the defect and an inferior triangle whose base is located along the advancement line. The flap results in an optimal cosmetic outcome and involves minimum movement of tissue (preserving the nasal architecture) and well-camouflaged suture lines.

Keywords:
Surgical dermatological procedures
Mohs micrographic surgery
Skin cancer
Basal cell carcinoma
Squamous cell carcinoma
Resumen

La reparación de los defectos nasales distales producidos durante la cirugía micrográfica de Mohs representa un desafío para el cirujano. Existen múltiples técnicas por las cuales se puede optar para el cierre del defecto. Presentamos 3 casos en los que se realizó el colgajo este-oeste, un colgajo de avance, de fácil diseño, que consiste en un triángulo que cubre el defecto y un segundo triángulo de descarga con sus bases en la línea de desplazamiento. Con este colgajo se obtiene un óptimo resultado estético con un movimiento mínimo de los tejidos, preservando la arquitectura nasal y con líneas de sutura bien disimuladas.

Palabras clave:
Procedimientos quirúrgicos dermatológicos
Cirugía micrográfica de Mohs
Cáncer de piel
Carcinoma basocelular
Carcinoma espinocelular

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