Bulletin of Stomatology and Maxillofacial Surgery
ISSN 1829-006X
2025; 239–243
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COMPARATIVE STUDY BETWEEN SKIN GRAFTS AND FLAPS FOR THE TREATING NASAL DEFECTS AFTER BASAL CELL CARCINOMA EXCISION

Ahmed Miri Saadoon*

Received: 2026-04-08 · Published: 2025-06-30

© 2025 The Author(s) and the original publisher.

CC BY-NC 4.0 This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
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Original title
COMPARATIVE STUDY BETWEEN SKIN GRAFTS AND FLAPS FOR THE TREATING NASAL DEFECTS AFTER BASAL CELL CARCINOMA EXCISION
Author
Ahmed Miri Saadoon
Source journal
Bulletin of Stomatology and Maxillofacial Surgery
Published
2025-06-30
Licence
Creative Commons Attribution-NonCommercial 4.0 International
Original
https://doi.org/10.58240/1829006X-2025.21.5-339

Abstract

Background: The most prevalent type of skin cancer that affects the nose is basal cell carcinoma. The best treatment of this cancer is surgical excision with safety margin. After excision the defect that formed can be closed by skin grafts, locoregional flaps and microsurgery. Aim of study: is to assess the outcomes of skin grafts and flaps used to repair nasal deformities following the removal of basal cell carcinoma from the nose. Materials and Methods: This study was done in Al- Diwanyia teaching hospital and outpatient private clinic between January,2018 to April ,2024 for 36 patients were complaining from skin defect in the nose after(BCC) excision.The patients divided into two groups , each group consist of 18 patients. The 1st group managed by skin graft and 2nd group by flaps. In early follow up we assess the patients for presence of complications like infection ,flap ischemia , graft failure .We follow the patients for 6 months as a visit every month looking for late complications (scar problems ,pigment changes) and patient satisfaction. Results: We found two patients developed wound infection those who manage by flap ,one patient developed tip nasolabial flap necrosis. Only one patients developed partial skin graft loss. 6 patients who treated by skin graft developed hyperpigmentation problems and this not occur in patients treated by flaps. Conclusion: There are more advantages for using flap coverage in nasal reconstruction due to better cosmetic outcome and more patients satisfaction.
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