FLAP RECONSTRUCTION FOR THE MIDDLE TWO-THIRDS OF THE NOSE

Abstract

Nasal reconstruction after the excision of a malignancy can be accomplished in several ways. Treatment options include full-thickness skin grafts, various loco-regional flaps and the paramedian forehead flap. It is always a challenge for the surgeon, mainly because of the complexity of the nasal surface lines and the diversity of the colour, texture and appearance of its lining skin. The principles of an ideal nasal reconstruction must accomplish an adequate balance between surgery with curative intention, functional preservation and acceptable cosmetic result. Herein the authors describe, with an illustrative case report, a bilateral triangular cheek advancement flap, complemented with a full thickness skin graft, for the reconstruction of medium-large defects of the nose, in a single staged procedure.