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Reconstruction of full-thickness defect of the alar rim with a combined advancement chondro-mucous and bilobed myocutaneous flap


  • This work was presented at the 39th Congress of the Spanish Academy of Dermatology and Venereology in Santiago de Compostela (June 2011).
  • Conflicts of interest: None.



The nasal pyramid is frequently affected by nonmelanoma skin cancer. In full thickness defects of the nose, reconstruction of all the layers results in better outcomes.


We present a case in which the combination of two flaps adequately reconstructs a full thickness defect of the nasal ala.


The images provide proof of the excellent functional and aesthetic results.


Our technique is a simple, one-stage procedure, with no distant donor site morbidity that achieves good coverage of the internal nasal lining with good external aesthetic result.

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