NASAL RECONSTRUCTION, regardless of the reason for which it is undertaken, remains a challenge to the surgeon who is faced with the task. In the case which we are presenting, the challenge was to reconstruct the lower half of the inside of the nose in such a manner that both nasal function and cosmetic appearance were maintained.
Certain guiding principles helped us to select the best method: (1) a cosmetic as well as a functional result must be obtained; (2) the result should be obtained in as few stages as possible; and (3) secondary disfigurement should either be avoided or kept to a minimum.
Guided by these principles, it was felt that in our case the median forehead flap Described by Kazanjian1 would lead to too much disfigurement. Nor would it supply enough tissue where it was most needed. Use of distant tissue by pedicle formation as advocated by
Vistnes LM, O'Connor GB, McGregor MW. Bilateral Nasolabial Flaps in Nasal Vestibular ReconstructionReport of a Case. Arch Otolaryngol. 1968;88(2):190–192. doi:10.1001/archotol.1968.00770010192016