This is an excellent and authoritative review of an often difficult and controversial (as there are so many options or so few) clinical subject. Better education and earlier diagnosis of skin tumours allows defects with limited size and depth to present in clinical practice; achieving good reconstruction, however, is often challenging. The authors have put together an excellent article with schematic diagrams and case studies accompanied by photographs. The main themes are the supratip area, dorsum and side wall subunits, and their experience with local rotation or advancement flaps. It is obvious that the authors have a wealth of experience and the article discusses the planning, selection and use of local flaps. This is an excellent review for nasal tip / lateral wall cutaneous reconstruction and is worth reading as both a technical review and reminder of the options. 

One stage nasal soft tissue reconstruction with local flaps.
Helml G, von Gregory HF, Amr A, et al.
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Sunil K Bhatia

Royal Shrewsbury Hospital, Shrewsbury, UK.

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