OBJECTIVETo investigate a new technique for nasal reconstruction with total rib cartilage framework.

METHODSThe expanded frontal flap was fabricated by skin expansion and flap delay to cover the reconstructed nose. The dorsal flap was reversed as the lining of reconstructed nose. The whole framework was made by rib cartilage. Secondary revision operation was also performed to make the reconstructed nose more natural.

RESULTSTotal nasal reconstruction was performed successfully in 37 cases. Each patient underwent 4-7 operation during a period of 6-8 months. 32 patients were followed up for 12-24 months. The reconstructed nose had a natural skin color and symmetric appearance with good ventilation and less scar. Both doctors and patients were satisfied with the results.

CONCLUSIONSatisfactory cosmetic result and ventilation function can be achieved by nasal reconstruction with total rib cartilage framework.