Abstract
Combined cheek and nose soft tissue defects can represent a formidable challenge to
the reconstructive surgeon. It is important for the surgeon to think of these defects
as four separate categories: cheek with nasal sidewall, cheek with nasal sidewall
and exposed bone, cheek with nasal sidewall plus ala, and cheek with simple posterior
ala defect. This categorization will help the surgeon plan the repair and provide
a successful aesthetic outcome. There are multiple repair options that the surgeon
can use, and the surgeon should be facile with all types. It is universally agreed
that the cheek defect must be repaired prior to undertaking the repair of the nasal
defect.
Keywords
combined cheek and nose defect - forehead flap - Shark Island pedicle flap - full-thickness
skin graft
