title: Bilobe flap with auricular cartilage graft for nasal alar reconstruction.
abstract: OBJECTIVE
  To report outcomes for reconstruction of the nasal ala using a bilobe flap in combination with an auricular cartilage graft.
  
  
  METHODS
  Case series with chart review.
  
  
  METHODS
  Academic tertiary care medical center.
  
  
  METHODS
  Data were obtained by a retrospective review of patients treated by a single surgeon (SPM) from January 2013 to December 2014. Patients were included who underwent reconstruction of the nasal ala using a bilobe flap in combination with an auricular cartilage graft. Clinical notes and postoperative photographs were reviewed to evaluate post-operative outcomes including flap viability, presence of iatrogenic lateral nasal wall insufficiency, alar retraction, and patient and surgeon reported satisfaction with aesthetic outcome.
  
  
  RESULTS
  A total of 7 patients (3 male, 4 female) met inclusion criteria. Patient age ranged from 34 to 71 years (mean: 55 years). Follow-up time ranged from 1 to 12 months (mean: 6.3 months). All defects were located within 5 mm of the alar margin. Defect size ranged from 6 to 15 mm in largest diameter (average 11 mm). There were no incidences of flap loss, alar retraction, or iatrogenic lateral wall insufficiency, and all patients had results deemed aesthetically satisfactory by both the patient and surgeon.
  
  
  CONCLUSIONS
  Defects of the nasal ala can be successfully reconstructed using a bilobe flap in combination with an auricular cartilage graft with excellent aesthetic and functional outcomes.
authors.affiliation: Division of Facial Plastic and Reconstructive Surgery, Stanford University School of Medicine, 801 Welch Rd, Palo Alto, CA. Electronic address: sakdagli@ohns.stanford.edu.
authors.forename: Seden
authors.initials: S
authors.lastname: Akdagli
authors.affiliation: Division of Facial Plastic and Reconstructive Surgery, Stanford University School of Medicine, 801 Welch Rd, Palo Alto, CA. Electronic address: mlee@ohns.stanford.edu.
authors.forename: Matthew K
authors.initials: MK
authors.lastname: Lee
authors.affiliation: Division of Facial Plastic and Reconstructive Surgery, Stanford University School of Medicine, 801 Welch Rd, Palo Alto, CA. Electronic address: smost@ohns.stanford.edu.
authors.forename: Sam P
authors.initials: SP
authors.lastname: Most
mesh_terms: D002280:Basal Cell Carcinoma / Q000601:surgery*; D004425:Ear Cartilage / Q000637:transplantation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015580:Mohs Surgery; D009669:Nose Neoplasms / Q000601:surgery*; D012225:Rhinoplasty / Q000379:methods*; D012878:Skin Neoplasms / Q000601:surgery*; D013524:Surgical Flaps