In reconstruction of full-thickness nasal defects, excellent outcome from b
oth the cosmetic and functional viewpoints is desired, and minimal scar in
the flap donor site is favored. The authors describe a new reconstructive m
ethod in which full thickness nasal defects are repaired with a full-thickn
ess island flap collected from the nasolabial region, with the retrograde a
ngular artery as the pedicle, The authors call this flap the full-thickness
retroangular flap, and used it to repair full-thickness nasal defects gene
rated by resection of cutaneous malignant tumors in 2 patients. The advanta
ges of this method were the following: reconstruction of the external side
of the nose and lining of the nasal cavity could be performed with one flap
; the color and texture of the reconstructed nose were favorable; being an
arterial flap, good blood circulation was obtained; and closing of the nap
donor site was easy.