[Combined flaps for defect reconstruction in the nasal region]

The steady increase in UV-related nonmelanocytic skin cancer is leading to a rising number of patients requiring surgery for multiple and/or extensive tumours. Reconstructions in the nasal area pose particular challenges due to the complex anatomy and functional constraints of the nose. The use of combined local flaps makes it possible to cover even multiple or large defects in an aesthetically optimal manner. Several approaches to this are presented in this review.