Introduction
However, nasal reconstruction has always been challenging to the
otolaryngologists, various nasal reconstruction methods have been
introduced.These reconstruction techniques depend on various factors
including defect etiology, size, location, and depth.1Recently, the forehead flap and the radial forearm
free flap are recommended in nasal complex defects.2
Our patient had a complex defect involving nasal tip, columella, septum,
and a portion of upper lip after MOHS surgery for squamous cell
carcinoma. Restoration of a nasal and lip function and contour are the
main goals of reconstruction in this case.This report details a two
stage approach to repairing such a defect using bilateral inferiorly
based malar transposition flaps with auricular cartilage graft for more
support and contour.