TANGENTIAL EXCISION OF A LESION OF NEURO FIBROMATOSIS ON ALAE NASI SINISTRA.

T.{\GE\TLAL EXCISION OF A LESION OF NEURO FIBROMATOSIS ON ALAE NASI
SINISTRA
Sri Lestari,* Yosse Rizalx, Field

L**

* Dermato-Venereology Department of Dr M Djamil Hospital/ Faculty of Medicine of
University of Andalas, Padang, West-Sumatra, Indonesia
** Intemational Traveling Chair of Dermatologic Surgery (ISDS)
Section: General
We report a 29 year old female with multiple lesions of neuro- fibromatosis on her face. At
that time, she preferred to removal of a single lesion on the alae nasi sinistra, but declined any
visible scar on other parts of her face.

After betadine scrub, we infiltrated Pehacain@ (lidocatn2o/o and ephineprine 1: 80.000) under
and around the lesion, resulting in a diffuse and symmetric elevation of the surrounding area.
After 5 minutes we performed a tangential excision of this 10x10 mm lesion utilizing the
"secret weapon" of dermatologic surgeons, the Gillette@ blade (Field L). By placing the
forefinger in the nostril to fix the lesion, we also established the proper curvature for an
incision across the base of the lesion which was parallel with the final intended surface. We
then excised the lesion with the Gillete@ blade, the fixed contour of the blade following the

fixed contour (convex) of the alae nasi - from one side to the other until the lesion was
removed. Aluminum chloride 40o/o was applied on the excision site to stop the superficial
bleeding, followed by an antibiotic.

The tangential excision is simple, requires no expensive instrumentation, and just takes
seconds to excise a single lesion (Field ). Hemostasis should be by chemical means, without
further injury to the tissue. "Razabrasion" (Field) can be applied in some cases to even
peripheral surfaces.

T

I\-GE\TIAL EXCISION

OF A LESION OF NEURO F'IBROMATOSIS ON ALAE NASI

SINISTRA
Sri Lestari,* Yosse Rizal*, Field

L**

* Dermato-Venereology Department of Dr M Djamil Hospital/ Faculty of Medicine of
University of Andalas, P adang, We st- Sun atra, Indonesia
** International Traveling Chair of Dermatoi*gic Surgery (ISDS)
Section: General
We report a 29 year old female with multiple lesions of qeuro- fibromatosis on her face. At
that time, she preferred to removal of a single lesion on the alae nasi sinistra, but declined any
visible scar on other parts of her face.

After betadine scrub, we infiltrated Pehacain@ (lidocain 2o,'o and ephineprine 1: 80.000) under
and around the lesion, resulting in a diffuse and symmetric elevation of the surrounding area.
After 5 minutes we performed a tangential excision of inr; 10x10 mm lesion utilizing the
"secret weapon" of dermatologic surgeons, the Gillette@:'l;la.Ce (Field L). By placing the
forefinger in the nostril to fix the lesion, we also estali,i,-,ied the proper curvature for an
incision across the base of the lesion which was parallel with the final intended surface. We
then excised the lesion with the Gillete@ blade, the fixed contour of the blade following the
fixed contour (convex) of the alae nasi - from one side 1c the other until the lesion was
removed. Aluminum chloride 40o/o was applied on the e"ircision site to stop the superficial
bleeding, followed by an antibiotic.

The tangential excision is simple, requires no expensive instrumentation, and just takes

seconds to excise a single lesion (Field ). Hemostasis shoulC be by chemical means, without
further injury to the tissue. "Razabrasion" (Field) can u.'.: applied in some cases to even
peripheral surfaces.

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