Background: It is difficult to reconstruct a satisfactory ala. Axial frontonasal flap has been common in reconstruction of nasal tip. We modified this flap to reconstruct nasal ala.
Objective: A modified axial frontonasal flap was applied for reconstruction of complete unilateral alar defects in two patients.
Methods: Skin from an intact nasal tip covered the alar defect. The resulting defect in the nasal tip was covered with dorsal skin from the nose. Extended mucosa or a hinged nasolabial flap was used to line the mucosal side of the reconstructed ala.
Results: The outcome judged by shape, and texture, was satisfactory. This technique can be employed under field block.
Conclusion: The modified frontonasal flap is one of the ideal techniques to reconstruct an entire nasal ala.