title: Reconstruction of full-thickness defect of the alar rim with a combined advancement chondro-mucous and bilobed myocutaneous flap.
abstract: BACKGROUND
  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.
  
  
  METHODS
  We present a case in which the combination of two flaps adequately reconstructs a full thickness defect of the nasal ala.
  
  
  RESULTS
  The images provide proof of the excellent functional and aesthetic results.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Servicio de Dermatología, Complejo Asistencial Universitario de León, León, Spain.
authors.forename: María Mercedes
authors.initials: MM
authors.lastname: Otero-Rivas
authors.forename: Beatriz
authors.initials: B
authors.lastname: González-Sixto
authors.forename: Luis Miguel
authors.initials: LM
authors.lastname: Valladares-Narganes
authors.forename: Alicia
authors.initials: A
authors.lastname: Pérez-Bustillo
authors.forename: Manuel Ángel
authors.initials: MÁ
authors.lastname: Rodríguez-Prieto
mesh_terms: D002280:Basal Cell Carcinoma / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015580:Mohs Surgery / Q000009:adverse effects; D064827:Myocutaneous Flap; D055171:Nasal Cartilages / Q000601:surgery; D009667:Nose Deformities, Acquired / Q000209:etiology / Q000601:surgery*; D009669:Nose Neoplasms / Q000601:surgery*; D012225:Rhinoplasty / Q000379:methods*; D012878:Skin Neoplasms / Q000601:surgery*