목적: Forehead flaps are often used in nasal reconstruction surgery for severe nasal defects, but in addition to the Forehead flap that restores the skin, the mucosa inside the nose must also be restored. In general, mucosa reconstruction is possible without difficulty, but in cases of severe defects or severe mucosal deformation, skin grafting or other flaps must be used in combination for reconstruction. 방법:We retrospectively analyzed cases in which a special composite flap was used or skin grafting was required simultaneously due to severe defects during reconstructive surgery using the Forehead flap performed at our hospital. In general, the Hindge flap is often used to reconstruct the mucosa, but in cases where reconstruction is difficult due to severe defects, complete nasal stenosis, or mucosal deformation after radiation therapy, the Groin skin graft or Melolabial flap was used simultaneously to correct the defects. 결과:Most of the results were good, but there were dissatisfaction issues such as necrosis of the flap or skin, stenosis of the nasal cavity, and asymmetry of scars with different skin colors. 결론:Reconstructive surgery of the nose requires the creation of both the mucosa and the skin outside the framework. Sometimes, it is difficult to reconstruct the mucosa, so a forearm-free flap, etc. is used. However, since the surgery is complex, the methods used by the author were simpler and produced good results.