Objective: To evaluate the effectiveness of tunneled island flaps in nasal defects reconstruction. Methods: A case series report was conducted in patients with nasal skin who underwent radical excision and reconstruction between 01/2020 and 07/2021 with tunneled forehead and nasolabial island flaps at the Department of Head and Neck- Otorhinolaryngology Surgery, Ho Chi Minh City Oncology Hospital. Results: Ten patients underwent tunneled island flaps fornasal defects reconstruction, of which five were male and two female. They were aged between 48 and 87, with a mean age of 68. There was 1 case with T1 and 9 cases with T2. The flaps included forehead island flaps (30%) and nasolabial island flaps (70%). Histopathological types were squamous cell carcinoma (80%) and basal cell carcinoma (20%) with a 100% negative margin. The median follow - up was three months,with no cases of recurrence have been recorded. 3x4cm dimension of forehead flap was the largest flap which we used. In 10 patients who received reconstruction, 80% displayed an excellent esthetic result, andpartial flap necrosis occurred in 20% of cases. Conclusion: Tunneled island flaps fornasal defects reconstructionare excellent therapeutic options for nasal skin cancer with the good restoration of esthetic, short hospitalization, and no need for the second stage operation.