Which flap is commonly used for nasal reconstruction?

The nasolabial flap is commonly used for nasal reconstruction due to its reliable vascular supply and proximity to the nasal region. This flap originates from the nasolabial fold, allowing for a relatively straightforward design that facilitates the transfer of tissue with a good color and texture match that is vital for the aesthetic appearance of the nose.

One of the key advantages of the nasolabial flap is that it can provide adequate tissue for various types of nasal defects, whether they are covering defects following tumor resections or for aesthetic enhancements following trauma. It can also be rotated or advanced to cover different areas of the nose, making it versatile in addressing a variety of reconstructive needs.

In comparison, the deltopectoral flap, while well-known in head and neck reconstruction, is typically used for larger defects and involves a more complex procedure. The radial forearm flap, although excellent for surface tissue coverage, is often more chancy in terms of functional sacrifice and donor site morbidity. The forehead flap, although also an option for nasal reconstruction, generally requires more extensive planning and may not be as immediately available as the nasolabial flap for facial reconstructions.

Given these factors, the nasolabial flap stands out as a primary choice for reconstructing nasal defects, both because