‘‘Bilateral nasocheek flap for reconstruction of upper lip, columella and nasal septum: A modified technique’’

There is a great number of medical conditions causing loss of tissue affecting upper lip, nasal base, columella and membranous septum; in our case wide resection of a relapsing squamous cell carcinoma required a challenging reconstruction to preserve function and aesthetics, guaranteeing oncological safety. We propose a modification of classical nasocheek advancement flap, avoiding alar lobule detachment in order to minimize the risk of nasal deformity. Concomitant cartilage graft reconstruction was contraindicated, since the need of adjuvant radiotherapy should not be excluded preoperatively. A single-stage and single-technique reconstruction is reported with good functional results and minimal cosmetic deformity at three months post-surgery.