Crab claw island pedicle flap for reconstruction of nasal ala and perialar combined large defects

Reconstruction of deep surgical defects after skin tumor removal poses a challenge for the dermatologic surgeon.1 The reconstruction of the nose is especially challenging due to the complex topography of this anatomical area, which is determined by the three-dimensional structure and the intersection of defined aesthetic units in this region.2 A 74-year-old female presented with a 2.5 × 1.5 cm, infiltrative, crusted, and mildly painful lesion of...