The axial nasodorsum flap.

A new axial flap is described for reconstruction of soft-tissue defects of the nose, including the supratip and columella. The blood supply to this flap originates from the lateral nasal branch of the angular artery adjacent to the nasolabial fold. This flap was used in seven patients between 1989 and 1994, and there was complete survival. We recognized that this axial nasodorsum flap provided suitable shape design in each patient and produced excellent cosmetic results. The anatomy, the technique, and our clinical experience are presented.