A Case Report on Paramedian Forehead Flap: A Treatment Approach for Basal Cell Carcinoma of Nose

Non melanoma Skin Cancers affect only about 1-2% of Indians, but they account for more than one-third of skin cancers in the white population. A total of 75% of all non melanoma skin cancers are Basal Cell Carcinomas (BCCs), the most prevalent type of skin cancer globally. Risk factors include middle or old age, fair skin (Fitzpatrick skin type I or II), immunosuppression and Ultraviolet (UV) radiation. While it can be extremely disfiguring, it is rarely fatal. Currently, the cornerstones of BCC treatment are tumour excision, Electrodesiccation and Curettage (EDC), cryosurgery, and Mohs micrographic surgery. The paramedian forehead flap is a local cutaneous flap that can be used for nasal reconstruction. Hereby, authors report a case of an 82-year-old male patient who presented with the classical findings of an ulcer on the dorsum of the nose, which was diagnosed as BCC based on typical clinical features and histopathological examination. The patient underwent surgical resection of the lesion with paramedian forehead flap reconstruction. The paramedian forehead flap is an extremely effective tool for nasal reconstruction. Using paramedian forehead flaps, it is possible to achieve stunning functional and aesthetic outcomes in cases of BCC of the nose with considerable technical expertise and knowledge.