The nasal glabellar flap.

Reconstruction of nasal defects presents a challenging problem for the surgeon. This is due to the complexity of the nasal surface lines and the diversity of the colour, texture, and appearance of its lining skin. Furthermore, there is a limited availability of mobile, adjacent skin. Defects of nasal cover after cancer-ablative procedures have been rehabilitated with numerous reconstructive modalities including free skin grafting and local flaps. Each technique differs according to the depth and size of the defect, the quality of the donor site, and the skills of the surgeon. The nasal glabellar rotation flap, initially described by Gillies and later modified by Reiger, has evolved into a choice flap for nasal defects of cover since it provides local skin with an exact colour, thickness, and contour match for the nasal skin. It is a safe flap, the donor site morbidity being minimal and especially suited for dorsal and lateral nasal resurfacing. The technique of the flap development is presented.