ABSTRACT
Introduction:
One of the most common sites of skin cancer is the nose, and because of its distinct three-dimensional structure, reconstruction of the nasal tip support is challenging for plastic surgeons.
Methods:
This article presents an alternative option for total nasal reconstruction using the bilateral frontal flap and the block bilateral auricular cartilage graft. We present an account of the use of the “sandwich technique”, consisting of two frontal flaps interspersed by auricular cartilage. While the first flap gives rise to the new roof of the nasal fossa, the cartilage configures the threedimensional shape and provides support for the new nasal structure. The second flap is then responsible for the outer coverage.
Results:
In this case, both the minimal morbidity of the donor area and excellent perfusion of the autonomized flaps were verified, leading to a largely satisfactory result.
Conclusions:
Although total nasal reconstruction is an infrequent procedure in the career of a plastic surgeon, the technique described here is a viable option for these cases.
Keywords:
Surgical flaps; Nose/surgery; Nasal tumors; Reconstructive surgical procedures.
