Tehran University of Medical Sciences Frontiers in Dentistry 2676-296X 8 4 2011 12 15 209 212 F. Pourdanesh Assistant Professor,Department of Oral and Maxillofacial Surgery, Shahid Beheshti University of Medi A. Khojasteh Assistant Professor,Department of Oral and Maxillofacial Surgery, Shahid Beheshti University of Medi 2015 10 03 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. https://fid.tums.ac.ir/index.php/fid/article/view/264 https://fid.tums.ac.ir/index.php/fid/article/download/264/264