Reconstruction of Lateral Tip and Ala Open image in new window

  • Shan R. Baker


A 44-year-old woman developed melanoma of the left alar groove. This was resected by her referring dermatological surgeon, and the patient was referred for wider surgical margins. She was in excellent health and did not have other cutaneous malignancies. Examination of the nose revealed a 0.8-cm ulcer in the anterior portion of the alar groove where the wound had been left open following her resection. A chest radiograph revealed no evidence of metastases. Pathological examination of the excised specimen showed a melanoma of a Breslow level of 2.13 mm. The recommended treatment was full-thickness resection of the tumor with a 1.5-cm wide soft-tissue margin (Fig. 23.1). The tumor was excised by removing the entire ala, lateral tip, and caudal portion of the sidewall to the level of the base of the pyriform aperture. The lateral crus and upper lateral cartilage were included in the specimen. Resection left a 3.0 × 2.75 cm full-thickness defect of the left nose (Fig. 23.2).


Cartilage Graft Septal Cartilage Lateral Cartilage Alar Cartilage Auricular Cartilage 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. 1.
    Baker SR. Major nasal reconstruction. In: Papel ID, ed. Facial Plastic and Reconstructive Surgery. 3rd ed, Chap. 59. New York: Thieme; 2009:807–820.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.University of Michigan School of MedicineAnn ArborUSA

Personalised recommendations