Surgical skill in a nutshell
Early Access
https://doi.org/10.4081/dr.2026.10938

Dermatosurgical pearls: the East-West advancement flap for reconstruction of primary defects following skin cancer excision in the nasal region

Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Published: 9 June 2026
634
Views
214
Downloads
Skin cancer, dermatologic surgery, reconstructive surgery, East-West advancement flap, facial region, nasal area

Authors

Simona Kordeva
simonakordeva97@gmail.com
Department of Dermatology and Venereology, Medical Institute of Ministry of Interior, Sofia, Bulgaria.
Konstantin Georgiev Tchernev Jr
Onkoderma - Clinic for Dermatology, Venereology and Dermatologic Surgery, Sofia, Bulgaria.
Georgi Tchernev
Department of Dermatology and Venereology, Medical Institute of Ministry of Interior, Sofia; Onkoderma - Clinic for Dermatology, Venereology and Dermatologic Surgery, Sofia, Bulgaria.

A 62-year-old male presented to the dermatology department with a primary complaint of an achromatic tumorous lesion protruding above the surrounding skin, with central atrophy, irregular borders, and visible telangiectasias, located on the nasal distal third, slightly toward the left nasal dorsum. Based on the clinical presentation, basal cell carcinoma was suspected and surgical excision under local anesthesia was recommended. [...]

Downloads

Download data is not yet available.

Citations

Crossref
Scopus
Google Scholar
Europe PMC
1. Geist DE, Maloney ME. The “east-west” advancement flap for nasal defects: reexamined and extended. Dermatol Surg 2012;38:1529-34.
2. Ferrell K, Eccles H, Lear W. Linear closure of surgical defects on the nose after intraoperative tissue relaxation as an alternative to a skin flap or graft. JAAD Case Rep 2020;6:679-82.
3. Salzano G, Scocca V, Romano A, et al. Surgical Outcomes and Complications of Distal Nasal Reconstruction: A Systematic Review and Meta-Analysis. J Clin Med 2025;147983.
4. Andresen JR, Scheufler O. Complex nasal reconstruction for skin cancer and post-traumatic deformity using a modified frontonasal flap - Case report. Int J Surg Case Rep 2021;83:105944.
5. Magliano J, Abelenda MP, Navarrete J, Bazzano C. East-West Flap After Mohs Micrographic Surgery. Actas Dermosifiliogr (Engl Ed) 2019;110:759-62.

How to Cite



1.
Kordeva S, Tchernev Jr KG, Tchernev G. Dermatosurgical pearls: the East-West advancement flap for reconstruction of primary defects following skin cancer excision in the nasal region. Dermatol Reports [Internet]. 2026 Jun. 9 [cited 2026 Jul. 10];. Available from: https://journals.pagepress.net/dr/article/view/10938
Copyright (c) 2026 the Author(s) Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.