Abstract
The nose which is positioned in the center of the face is an aesthetically and functionally important structure. Destruction of this three-dimensional structure which is maintained by nasal bones and cartilages may result in poor life quality both socially and functionally as a respiratory and sensory organ. Most common causes of destruction are surgical excision of neoplasms, trauma, infections and congenital abnormalities. Multiple options must be considered through the reconstructive ladder and most appropriate technique for the defect and patient must be chosen. In this study, we present a patient who had a nasal bone, cartilage and soft tissue defect due to a gunshot injury. We performed a two-stage reconstruction.In the first stage we reconstructed the soft tissue with a paramedian forehead flap and in the second stage, we reconstructed the framework with a rib cartilage graft. The patient was both aesthetically and functionally satisfied by the result.

Key words: Nasal reconstruction, forehead flap, cartilage graft, aesthetic subunit,gunshot injury, paramedian forehead flap