case_images: PMC5726708_01
case_images: A: Defect involving the right side of the dorsum of the
  nose and part of the right nasal ala. B: Nasolabial
  island flap tunneled through the right side of the nose in order to
  reach the primary defect. C: Donor area scar in a
  transition area of cosmetic units. D: Fifteen months
  after surgery
case_images: abd-92-05-s1-0151-g01.jpg
case_images: PMC5726708_01_abd-92-05-s1-0151-g01.jpg
case_images: f1
case_images: Fifteen months after the procedure there were no signs of recurrence of the SCC and the final result was considered satisfactory by the patient and by the surgical team (Figure 1).
case_images: A: Island flap designed on the nasolabial fold.
  B: Subcutaneous flap dissected in the superior
  nasolabial area and then tunneled through the right nasal ala.
  C: Nine months after surgery, significant trapdoor
  effect. D: Improvement of the trapdoor effect three
  months after intralesional corticosteroid injection
case_images: abd-92-05-s1-0151-g02.jpg
case_images: PMC5726708_01_abd-92-05-s1-0151-g02.jpg
case_images: f2
case_images: A significant trapdoor effect could be seen, despite the frequent massaging of the flap, that improved after intralesional corticosteroid (Figure 2).
case_images: PMC5726708_02
case_images: A: Deep defect on the medial canthus after radical
  excision of the tumor. B: Glabellar island flap
  mobilized through the subcutaneous tunnel created in the nasal
  bridge. C: Repair of the concavity of the medial
  canthus. D: Fourteen months after surgery
case_images: abd-92-05-s1-0151-g03.jpg
case_images: PMC5726708_02_abd-92-05-s1-0151-g03.jpg
case_images: f3
case_images: There was a mild trapdoor effect that, however, did not worry the patient (Figure 3).