Pedicled bone grafts to treat nasal bone defects associated with full-thickness loss of nose.

A periosteal pedicled bone graft from the maxillary buttress was used to reconstruct nasal bone loss with full-thickness dorsal nasal skin loss after a nasomaxillary skin graft inlay. The covering defect and lining defect were reconstructed using a forehead flap and a nasolabial flap. The vascularity of the bone flap was confirmed by bone scintigraphy on the seventh postoperative day. The results obtained were satisfactory and the framework was found to be stable during the follow-up period.