Abstract
Many different techniques have been described in the past for nose reconstruction. Of these, nasolabial and forehead flaps are the most frequently performed. The disadvantage of local flaps is that they do not accurately reproduce the alar rim contour, despite secondary surgical revisions. We present a full-thickness nostril reconstruction after a dog bite using a microvascular free ear helix composite flap. The flap dissection is described and surgical details are underlined. The indications and advantages are compared to those with other surgical solutions.
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