Ferrario D, Martínez PMM, Ferraresso MG, Galimberti G, Mazzuoccolo LD

Language: Spanish
References: 5
Page: 320-325
PDF size: 986.95 Kb.

ABSTRACT

Introduction: reconstruction of large defects near the external angle of the eye is always a challenge for the surgeon dermatologist. When we must perform a direct closure using fusiform or elliptical incisions, we will need a technique to shorten the incision and avoid compromising the periocular region. In these cases, we will be able to apply “nested M plasty” technique, which allows, after direct closure, to obtain a scar of shorter length disguised in periocular wrinkles.
Materials and methods: We report two patients treated with Mohs micrographic surgery due to high-risk basal cell carcinomas in the temple region. Both defects were repaired with a direct closure using the “nested M plasty” technique.
Results: both patients did not present post-surgical complications, showing an excellent functional and aesthetic result.
Conclusion: nested M plasty is a useful technique applicable to fusiform incisions for the reconstruction of large defects of the temple near the periocular region. Its serrated triangle design allows shortening the final scar in direct closures, avoiding the formation of redundant skin and offering the patient an excellent cosmetic result.

REFERENCES

1. Weisberg NK, Nehal KS y Zide BM, Dog-ears: a review, Dermatol Surg 2000; 26(4):363-70.

2. Barlow JO, The tissue efficiency of common reconstructive design and modification, Dermatol Surg 2009; 35(4):613-28.

3. Dzubow LM, The dynamics of dog-ear formation and correction, J Dermatol Surg Oncol 1985; 11(7):722-8.

4. Prohaska J y Crane JS, M-plasty. En StatPearls, Treasure Island, Florida, StatPearls Publishing, 2020.

5. Krishnan RS y Donnelly HB, The nested M-plasty for scar length shortening, Dermatol Surg 2008;34(9):1236-8.