A Composite Buccal Flap for Alar Based Defect Reconstruction: A Technical Note

It is difficult to reconstruct an alar defect with cartilage involvement. Here in theauthors report a case of traumatic alar loss during childhood in which an alar reconstructionwas carried out with a composite auricular graft put over the pediclebuccal flap which was rotated and passed through the intraoral side. The liningskin and auricular cartilage for the flap was obtained from the auricular regionwhich was acceptable for the patient. All procedures were performed under generalanesthesia. One year follow up revealed satisfactory results with minimalcontracture of the graft.