Introduction:

Ala nasi is an area of ​​frequent incidence of malignant tumors, whose exeresis leaves serious sequels with negative impact on the patient.

Objective:

To characterize nasal ala reconstruction for total defects in cancer patients.

Method:

A descriptive, observational, longitudinal and prospective study was carried out at National Institute of Oncology and Radiobiology, from April 2014 to April 2017. The sample consisted of 32 patients who met the selection criteria.

Results:

The study majority was represented by male patients. Basal carcinoma was the most frequent histological diagnosis. Resection of primary tumors that resulted in isolated defects of the nasal ala were the main reason for reconstruction. The highest percentage of cases were reconstructed immediately. The forehead flap was the most used technique, and presented the best aesthetic and functional results. The composite skin graft presented the highest rate of complications.

Conclusions:

With the forehead flap folded on itself and without cartilage graft, the best aesthetic and functional results were achieved.

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