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<p>Managing ala nasi defects following nevus excision can be challenging for young surgeons, as the nose is a critical aesthetic unit. This study aimed to evaluate the efficacy of open wound healing after excision of small nevi on the ala nasi—a simple and minimally invasive surgical approach. This retrospective study included patients with a small, superficial, benign nevus (&lt; 1&#xa0;cm in diameter) on the ala nasi who underwent surgery at our hospital. Patients were categorized into open group and flap group according to the surgical method used. Open therapy relies on the tissue’s natural regenerative ability, without the need for postoperative suturing. Conversely, flap repair involves using adjacent skin and subcutaneous tissue to cover defect through rotation, advancement, or displacement. Herein, we compared the surgical duration, healing time, and surgical effects between the two groups. This study included 32 cases, with the open group comprising 15 individuals and flap group comprising 17 individuals. The surgical duration was significantly shorter (14.2 ± 3.1&#xa0;min vs. 49.1 ± 7.6&#xa0;min; <i>p</i> &lt; 0.01) and the healing time was significantly longer (14.3 ± 0.9 days vs. 7.4 ± 1.8 days; <i>p</i> &lt; 0.01) in the open group than in the flap group. However, no significant differences were observed between the two groups in recurrence rate, self-scoring of patients’ satisfaction, doctors’ scores on the aesthetic results of the nose, and Vancouver Scar Scale score. Open wound healing after excising a small and superficial nevus from the ala nasi, effectively reduced surgical duration. Although the healing time was prolonged, the aesthetic outcomes were comparable to those achieved with flap repair.</p>

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Efficacy of open wound healing after excision of small, superficial, benign nevi on the ala nasi: a retrospective cohort study

  • 期刊论文

  • 发表日期：

    2026年3月5日

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  • Hui Wang,
  • Shengwei Wang,
  • Jingjing Ye,
  • Ninggang Chen

摘要

Managing ala nasi defects following nevus excision can be challenging for young surgeons, as the nose is a critical aesthetic unit. This study aimed to evaluate the efficacy of open wound healing after excision of small nevi on the ala nasi—a simple and minimally invasive surgical approach. This retrospective study included patients with a small, superficial, benign nevus (< 1 cm in diameter) on the ala nasi who underwent surgery at our hospital. Patients were categorized into open group and flap group according to the surgical method used. Open therapy relies on the tissue’s natural regenerative ability, without the need for postoperative suturing. Conversely, flap repair involves using adjacent skin and subcutaneous tissue to cover defect through rotation, advancement, or displacement. Herein, we compared the surgical duration, healing time, and surgical effects between the two groups. This study included 32 cases, with the open group comprising 15 individuals and flap group comprising 17 individuals. The surgical duration was significantly shorter (14.2 ± 3.1 min vs. 49.1 ± 7.6 min; p < 0.01) and the healing time was significantly longer (14.3 ± 0.9 days vs. 7.4 ± 1.8 days; p < 0.01) in the open group than in the flap group. However, no significant differences were observed between the two groups in recurrence rate, self-scoring of patients’ satisfaction, doctors’ scores on the aesthetic results of the nose, and Vancouver Scar Scale score. Open wound healing after excising a small and superficial nevus from the ala nasi, effectively reduced surgical duration. Although the healing time was prolonged, the aesthetic outcomes were comparable to those achieved with flap repair.