The Reconstruction of Nasal Cutaneous Defects With Locoregional Flaps.

The nose occupies the central position on the face and may be the most difficult facial feature to reconstruct due to its complex anatomy and function. Cancer resection and trauma are the most common causes of nasal defects. The goal in such cases is to select the most appropriate option for a given defect to preserve nasal function and to achieve the best aesthetic outcome. The most important aspect of a successful reconstruction is preoperative planning. Although small defects may only require a single procedure and primary closure might be an option, multiple procedures are typically needed to reconstruct a more extensive defect to prevent nasal distortion or collapse. Locoregional flaps are the first choice for reconstruction as they use nearby tissue, providing an excellent color and texture match with the best results. The objective of this article is to engage in a review of the most common locoregional flaps used to reconstruct cutaneous nasal defects. We analyze the most commonly used locoregional flaps, as well as their advantages and disadvantages.