Dermatosurgery Rounds - The Island SKIN Infraorbital Flap


  • Georgi Tchernev Biological Medical Institute of Ministry of Interior (MVR), Department of Dermatology and Dermatologic Surgery, General Skobelev 79, 1606 Sofia, Bulgaria; Onkoderma” - Policlinic for Dermatology, Venereology and Dermatologic Surgery, 26 General Skobelev blvd., Sofia
  • Serena Gianfaldoni University G. Marconi of Rome, Rome
  • Uwe Wollina Department of Dermatology and Allergology, Teaching Hospital Dresden-Friedrichstadt, Dresden
  • Torello Lotti Department of Dermatology, University of Rome “G. Marconi”, Rome, Italy; Department of Biotechnology, Delft University of Technology, 2628 BC, Delft
  • Jacopo Lotti Department of Nuclear, Subnuclear and Radiation Physics, University of Rome "G. Marconi", Rome
  • Katlein França Institute for Bioethics & Health Policy; Department of Dermatology & Cutaneous Surgery; Department of Psychiatry & Behavioral Sciences, University of Miami Miller School of Medicine - Miami, FL
  • Atanas Batashki Abdominal and Thoracic Surgery, Department of Special Surgery, Medical University of Plovdiv, bul. "Peshtersko shose" Nr 66, 4000 Plovdiv
  • Georgi Konstantinov Maximov Onkoderma/ADCRSTR cooperation Group- Policlinic for Dermatology, Venereology and Dermatologic Surgery, General Skobelev 26, Sofia



nonmelanoma skin cancer, surgery, flap, basal cell carcinoma, outcome, cosmetic result


The main objective in dermatologic surgery is complete excision of the tumour while achieving the best possible functional and cosmetic outcome. Also we must take into account age, sex, and tumour size and site. We should also consider the patient's expectations, the preservation of the different cosmetic units, and the final cosmetic outcome. Various reconstructive methods ranging from secondary healing to free flap applications are usedfor the reconstruction of perinasal or facial defects caused by trauma or tumour surgery. Herein, we describe the nasal infraorbital island skin flap for the reconstruction in a patient with basal cell carcinoma. No complications were observed in operation field. The infraorbital island skin flap which we describe for the perinasal area reconstruction is a safe, easily performed and versatile flap. The multidimensional use of this flap together with a relatively easy reconstruction plan and surgical procedure would be effective in flap choice.


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Pérez-Paredes MG, Valladares Narganes LM, Cucunubo HA, Rodríguez Prieto MÃ. Shark island flap for reconstruction of nasal ala-perinasal defects.Actas Dermosifiliogr. 2014;105(7):709-11. PMid:24890814

Doğan F, Özyazgan İ. New flap for the reconstruction of the perinasal region. Facial Plast Surg. 2014;30(6):676-80. PMid:25536136



How to Cite

Tchernev G, Gianfaldoni S, Wollina U, Lotti T, Lotti J, França K, Batashki A, Maximov GK. Dermatosurgery Rounds - The Island SKIN Infraorbital Flap. Open Access Maced J Med Sci [Internet]. 2017 Jul. 23 [cited 2021 Sep. 22];5(4):554-5. Available from:

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