Reconstruction of a fistula in the anterior soft triangle of the nose after basal cells carcinoma excision: A case report

Corrado Rubino; Emilio Trignano; Claudia Trignano; Michela Pinna; Pietro Luciano Serra

doi:10.1016/j.ijscr.2022.107225

Reconstruction of a fistula in the anterior soft triangle of the nose after basal cells carcinoma excision: A case report

Int J Surg Case Rep. 2022 Jun:95:107225. doi: 10.1016/j.ijscr.2022.107225. Epub 2022 May 18.

Authors

Corrado Rubino¹, Emilio Trignano¹, Claudia Trignano², Michela Pinna¹, Pietro Luciano Serra³

Affiliations

¹ University of Sassari, Department of Medical, Surgical and Experimental Sciences, Sassari University Hospital Trust, Plastic Surgery Unit, Sassari, Italy.
² Department of Biomedical Sciences, University of Sassari, 7100 Sassari, Italy.
³ University of Sassari, Department of Medical, Surgical and Experimental Sciences, Sassari University Hospital Trust, Plastic Surgery Unit, Sassari, Italy; University of Sassari, School of Specialization in Plastic, Reconstructive and Aesthetic Surgery. Electronic address: pietro_serra@hotmail.it.

Abstract

Introduction and importance: Basal cell carcinomas represent the most frequent skin cancer and the nose is the most common site of presentation. This has an impact on both aesthetics and function of the nose and consequences in patients' psyche.

Case presentation: In our paper, the first case in literature of a cutaneous fistula in the nasal soft triangle, after a basal cell carcinoma excision, and its reconstruction, is reported.

Clinical discussion: One of the areas of weakness of the nose is the anterior soft triangle; here, any minimal alteration of the anatomy can potentially lead to severe impairment.

Conclusion: When the nasal soft triangle is damaged, its restoration is crucial. Our technique showed both functional and aesthetic good result.

Keywords: Fistula; Flap; Local; Nose; Reconstruction.