title: The reverse nasolabial flap with a cartilage graft for the repair of a full-thickness alar defect: a single-stage procedure.
abstract: A 65-year-old woman with a deeply infiltrating basal cell carcinoma in the right ala underwent full-thickness excision of most of the ala, including the alar rim, crease, and the adjacent cheek, leaving a 'through-and-through' defect. Reconstruction was performed by using the reverse nasolabial flap and a cartilage graft across the alar defect, harvested from the concha, to prevent nostril collapse and to maintain the alar shape. The reverse or turnover nasolabial flap is a variant of the conventional nasolabial flap; however, it may be more suited for the repair of a full-thickness, lateral alar defect. The reverse nasolabial flap functions both as an inner liner and an outer cover and the repair is performed as a single-stage procedure. Furthermore, this flap can provide both excellent function and excellent cosmetic outcome.
authors: Department of Dermatology, VHS Medical Center, Seoul, Korea.
authors: Hyun-Chul
authors: HC
authors: Shim
authors: Department of Dermatology, VHS Medical Center, Seoul, Korea.
authors: Geon
authors: G
authors: Kim
authors: Department of Dermatology, VHS Medical Center, Seoul, Korea.
authors: Ji-Hyun
authors: JH
authors: Choi
authors: Department of Dermatology, VHS Medical Center, Seoul, Korea.
authors: Ji-Hye
authors: JH
authors: Kim
authors: Department of Dermatology, VHS Medical Center, Seoul, Korea.
authors: Eun-Jung
authors: EJ
authors: Kim
authors: Department of Dermatology, VHS Medical Center, Seoul, Korea.
authors: Hyang-Joon
authors: HJ
authors: Park
authors: Department of Dermatology, VHS Medical Center, Seoul, Korea.
authors: Ok-Ja
authors: OJ
authors: Joh
authors: Department of Dermatology, Eulji General Hospital, Seoul, Korea.
authors: Sook-Ja
authors: SJ
authors: Son
keywords: Nasal cartilages; Surgical flaps