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

Abstract

It is difficult to reconstruct an alar defect with cartilage involvement. Here in the
authors report a case of traumatic alar loss during childhood in which an alar reconstruction
was carried out with a composite auricular graft put over the pedicle
buccal flap which was rotated and passed through the intraoral side. The lining
skin and auricular cartilage for the flap was obtained from the auricular region
which was acceptable for the patient. All procedures were performed under general
anesthesia. One year follow up revealed satisfactory results with minimal
contracture of the graft.