Reconstruction of the ala of the nose using a composite free flap from the pinna

A new method of reconstruction of the nasal ala is described using a composite free flap taken from the anterior part of the pinna, based upon the superficial temporal vessels. Forty cadaver dissections have been performed to assess variations in vascular anatomy and a direct branch of the superficial temporal artery was found in 90% of subjects. The flap has been used successfully in two cases.