title: [Reconstruction of full-thickness nasal alar defect with combined nasolabial flap and free auricular composite flap].
abstract: OBJECTIVE
  To investigate the technique and its effect of combined nasolabial flap and free auricular composite flap for full-thickness nasal alar defect.
  
  
  METHODS
  From March 2010 to March 2013, 9 patients with full-thickness nasal alar defects were treated with combined nasolabial flaps and free auricular composite flaps. Composite auricular flap was used as inner lining and cartilage framework. The nasolabial flap at the same side was used as outer lining.
  
  
  RESULTS
  All the patients were followed up for 6-18 months (average, 12 months). All the 9 composite auricular flaps survived completely. Epidermal necrosis happened at the distal end of 1 nasolabial flap. Alar rim was almost normal and symmetric nose was achieved in 6 cases. The arc and the thickness of the alar rim was not enough in 3 cases, resulting in asymmetric appearance.
  
  
  CONCLUSIONS
  The survival area of auricular composite flap can be enlarged with nasolabial flap. The auricular helix edge can be reserved to reconstruct nasal alar rim with smooth and natural arc. Large full-thickness nasal alar defedts can be reconstructed with combined nasolabial flaps and free auricular composite flaps.
authors.forename: Weihai
authors.initials: W
authors.lastname: Peng
authors.forename: Li
authors.initials: L
authors.lastname: Rong
authors.forename: Wangshu
authors.initials: W
authors.lastname: Wang
authors.forename: Chao
authors.initials: C
authors.lastname: Liu
authors.forename: Duo
authors.initials: D
authors.lastname: Zhang
mesh_terms: D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012225:Rhinoplasty / Q000379:methods*; D016038:Skin Transplantation / Q000379:methods; D013524:Surgical Flaps; D055815:Young Adult