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Frits Jan Bas van Hemert, MD; Remco de Bree, MD, PhD; Charles Rene Leemans, MD, PhD; Marinus Johannes Middelweerd, MD, PhD

Arch Facial Plast Surg. 2007;9(3):201-204.

In subtotal nose reconstruction, different tissues have to be reconstructed. We report the case of a 51-year-old man with a severe deformity of the nose (shortening and collapse of the nose, retraction of the right alar area, and a total septal defect after surgery and radiotherapy for a septum nasi carcinoma). Reconstruction with good results was performed with a "gangplank" flap technique (using a U-shaped skin flap for inner lining and for lengthening), rib cartilage for the nasal skeleton, and skin coverage with a paramedian forehead flap.

Author Affiliations: Department of Otolaryngology/Head and Neck Surgery, VU University Medical Center, Amsterdam (Drs van Hemert, de Bree, and Leemans), and Department of Otolaryngology, Hilversum Hospital, Hilversum (Dr Middelweerd), the Netherlands.