Background: Many reconstructive techniques have been used for reconstruction of the
nose after wide excision of basal cell carcinoma with variable aesthetic outcome. Patient
satisfaction is a crucial determinant of the reliability of any reconstructive technique.
Aim of this prospective clinical study was to evaluate the cutaneous cheek
advancement flap as a reliable method for nasal reconstruction following wide excision of
basal cell carcinoma as regards early postoperative complications and patient satisfaction
Methodology: The current study included 51 patients with basal cell carcinoma at side
of nose who are eligible for wide excision and immediate reconstruction using cutaneous
cheek advancement flap. Follow-up was planned for 3 months to report early postoperative
complications. Aesthetic outcome was assessed using Likert score and Vancouver’s scar
scale.
Results: The age of the included patients ranged from (46-63 years). The current
study showed wound infection in 3.9 % of patients, seroma occurred in 3 patients while
hematomas occurred in 2 patients. No total flap loss was reported while partial flap loss
had occurred in 1 case (1.9%). The patients’ overall satisfaction was good and only 2
patients (3.9%) showed poor esthetic outcome. There was a strong positive correlation
between patients’ evaluation and independent surgeons’ assessment (r=0.922).
Conclusion: According to the current results, cheek advancement flap is feasible and
simple method for reconstruction of medium and large sized defects in the sidewall of the
nose with minimal postoperative complications and excellent aesthetic outcome.