[Reconstruction of an extensive endonasal chondromucosal defect with a composite graft]

Reconstruction of an endonasal chondromucosal defect without skin defect is a rare event, which involves functional and esthetic outcomes. We report the original use of a composite graft, for the repair of an endonasal chondromucosal defect.

A 57-year-old woman presented with extensive tissue loss after the complete resection of an arteriovenous malformation. The excision procedure removed a cartilaginous part of the dome, the lateral crus of the alar cartilage, and the adjacent mucosa. An auricular composite graft allowed for an effective reconstruction, with a very satisfactory result, in a single surgical step.

Using an endonasal composite graft has rarely been reported even though there are few alternatives for the reconstruction of an endonasal chondromucosal defect.