The Nasal Floor Transposition Flap for Repairing Distal Nose/ Columella Defects

BACKGROUND: Reconstruction of defects of the distal nose/columella region present a challenge both esthetically and functionally. OBJECTIVE: To describe the use of nasal floor tissue as an inferiorly based transposition flap for closure of distal nose/columella defects. METHODS: Mohs micrographic surgery for excision of basal cell carcinoma was performed on the distal nose/columella area of a patient. The resultant defect was closed using an inferiorly based transposition flap elevated from the nasal floor. Other closure options for this region are discussed. CONCLUSION: The nasal floor flap allowed the reconstruction of a properly contoured columella and distal nose.