Reconstruction of the nasal vestibule and ala using ear cartilage and folded lateral nasal flap after large basal cell carcinoma excision

The continuously growing number of diagnosed skin cancers, of which a great percent is located on the face, has determined plastic surgeons to find better answers and solutions to the challenging questions regarding reconstruction following tumor excision. The only thing complex post-excisional face defects have in common is that they widely vary from a patient to another. The nasal vestibule is the most anterior part of the nasal cavity, enclosed by cartilages and lined by skin anteriorly and respiratory epithelium in its posterior part. The nasal vestibule is a specialized organ with unique characteristics that need to be considered when reconstruction is planned. We present a complex defect of nasal vestibule and ala, following radical excision of basal cell carcinoma.