Nasal alar reconstruction using a reverse composite island flap

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As a new nasal alar reconstruction method, a reverse composite island flap, based upon the superficial temporal artery has been performed. The flap consists of the anterior part of the helix. The use of such a flap also enables the concurrent reconstruction of the entire ala of the nose without the need for microsurgery. This paper describes the surgical technique involved and the usefulness of this flap in future applications.