Objective To investigate the therapeutic effect of double leaf flap in repairing nasal alar soft tissue defect.Methods In 25 patients with basal cell carcinoma of nasal wing skin,the defect diameter of nasal wing soft tissue between 0.5 cm and 2.0 cm was removed and the defect was repaired with double flap immediately.Results The patients in this group were all successful in surgery.The incisions were all first-stage healing,no necrosis of the skin flap,1 to 3 years of follow-up after surgery,no recurrence of cancer,and the repair of the skin flap was basically the same as the color and texture of the surrounding tissue.The scars were not obvious.The lateral nasal wing physiological radians were naturally smooth.Both sides were symmetrical and met the aesthetic standards of the nose.Conclusions With the advantages of simple design and simple operation,high survival rate and beautiful shape of nasal wing after repair,the double-leaf flap can be widely used in clinic.

Objective To explore the application of "kite" flap in soft tissue defect of eyelid and periocular skin.Methods A triangular ("kite") flap was designed in close proximity to the defect after eyelid and periocular skin lesions.Under orbicular muscle or fascia,the flap with muscle or fascia was removed.Since 2011,we have selected 50 patients aged 16-70 years.Results All incisions were primary healing,no recurrence of the lesion and all flaps survived,Follow up for 1 to 5 years showed that the scar of the incision was not obvious,no tissue organ was displaced,and the form of the eyelid and eyebrow on both sides was naturally smooth and symmetrical.Conclusions For the soft tissue defect of the eyelid and periocular skin,not suitable for direct suture,the "kite" flap can be used for the repair,which is simple and easy,with ideal results.