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Procedure

Skin cancer defect-nasal septum removed, entire dorsum and left ala removed.

Lining reconstructed with septal mucosal trapdoor flap and nasolabial turnover flap. Bony structure reconstructed with 7th rib(dorsum) and ethmoid bone(sidewall). Skin reconstructed with forehead flap and ear cartilage.

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Before

Before

Afer

After