Reconstruction of the Nose by the Forehead Flap and a Modified Mucosal Flap ? A Case Report

Abstract

The reconstruction of large nasal defects after tumor resection is a challenging procedure, this case report describes a patient with a basal cell carcinoma of the nose. The tumor was excised with a safe margin and subtotal nasal reconstruction was performed by paramedian forehead flap while nasal lining and septum were reconstructed by a modified sublabial mucosa flap together with medpor implant. Although numerous surgical techniques have been described for reconstruction of nasal septum and lining but no single procedure is recognized as being reliable in all cases. Modified mucosal flap of upper lip and medpor implant is a versatile surgical technique which can be used for reconstruction of the nasal septum and lining with minimal morbidity.