Naso-glabello-frontal advancement reconstruction for chondroid syringoma of the nasal tip

ABSTRACT

@#<p style="text-align: justify;"><strong>OBJECTIVE:</strong> To   present   a   naso-glabello-frontal   advancement modification of   the   dorsal advancement  (Rintala)  flap  for reconstruction  of  an  unusual  case  of  chondroid  syringoma occurring at the nasal tip.<br /><strong>METHODS:</strong><br /><strong>  Design:</strong> Case Report<br /><strong>  Setting:</strong> Tertiary Government Training hospital<br /><strong>  Patient:</strong> One<br /><strong>RESULTS:</strong> A 23-year-old man who presented with a nasal tip mass initially diagnosed as a benign adnexal tumor underwent excision and reconstruction with a naso-glabello-frontal advancement flap modification of the dorsal advancement flap with median brow lift. The procedure resulted in nasal tip reconstruction with minimal scars, including a horizontal upper medial brow margin scar  that  eventually  became  less  apparent.  Final  histopathology  revealed  a  rare  benign  mixed tumor, chondroid syringoma.<br /><strong>CONCLUSION:</strong> The naso-glabello-frontal advancement flap is a one-stage procedure that can be used to reconstruct such a cutaneous nasal defect after tumor excision. The modification observes nasal aesthetic subunits and may have a better aesthetic outcome than traditional rotational or advancement flaps.</p>