2021 年 37 巻 2 号 p. 72-77
Facial herpes zoster occurs by reactivation of latent varicella-zoster virus, manifesting as eruptions, blisters, and first division trigeminal neuralgia. A 74-year-old male was treated for facial herpes zoster complicated by skin ulceration. Due to pain and stenosis of the nasal cavity after wound closure, full-thickness resection of the left alar was performed. Considering the size of the defect involving the surrounding tissues, nasolabial hinge and median forehead flaps were used for reconstruction in combination with an auricular cartilage graft. The advantages of this method are the restoration of the nostril shape and retention of the nasal cavity. The surrounding scar tissue was not used for external reconstruction and flap circulation, and the esthetic outcome was satisfactory. Alar reconstruction requires consideration of the primary cause and the condition of the surrounding tissue.