Flap in flap techniqueを使用した鼻唇溝部基底細胞上皮腫の1例

We report a case of basal cell epithelioma on the alar groove and the nasolabial groove.The patient was a 74-year-old man who presented with an approximately 10-year history of an asymptomatic nodule at this location. Considering his heart function and age we planned to cover the skin defect using a local flap.A novel technique using a local flap in facial reconstruction is presented in this report.The name of this novel technique is “flap in flap technique”. This technique involves creating a secondary flap in the primary flap, and there has been no report of a similar technique. The theory and its application in a clinical case are presented in this report, which shows the V-Y flap in the V-Y flap. And by using this theory, other types of flap in flap will be produced. [Skin Cancer (Japan) 2003; 18: 290-293]