Abstract:ObjectiveTo investigate the choice and principle of various methods for functional reconstruction of nasal vestibule.MethodsClinical date of 27 patients who underwent removal of the lesion followed by functional reconstruction of nasal vestibule in our department between Oct 2012 and Oct 2018 were analyzed retrospectively. Of them, the defects after lesionectomy were repaired with local pedicle skin flap in 19 cases, free skin flap in 7 cases and biofilm in one. All the patients had been followed up for 2 to 24 months postoperatively to evaluate the efficacy and complications.ResultsOnestage surgical repair and functional reconstruction was achieved in all patients. All the skin flaps survived without ventilation dysfunction. As for the subjective curative effect, the rates of great satisfaction and satisfaction were 74.1%(20/27)and 25.9%(7/27), respectively. ConclusionsAppropriate methods should be selected to repair and reconstruct the nasal vestibule according to the character, location, size and depth of the lesions. As the first choice for repairing nasal vestibular tissue defects, local pedicle skin flap is worth popularizing.