CHAPTER 6 Nasal Reconstruction
Book
Editors: Neligan, Peter C.; Boyd, J. Brian; Mathes, David
Title: Jackson's Local Flaps in Head and Neck Reconstruction
Print ISBN: 9781626238107; Online ISBN: 9781684203147; Book DOI: 10.1055/b000000306
3. Edition © 2023. Thieme. All rights reserved
Thieme Publishers New York, New York
Subjects: Plastic, Reconstructive and Cosmetic Surgery
Thieme Clinical Collections (English Language)
ABSTRACT
Generally speaking, apart from the medial canthus, nasal reconstruction is best performed by local or regional flaps. Most defects are confined to the skin and result from local cancer excision often using the Mohs technique. Flaps from the nose itself are favored for their excellent color match. They should never cross anatomical boundaries or cause asymmetries or distortions in the nose itself. Larger defects may require regional flaps from the forehead, cheek, or neck. Full-thickness defects frequently require the provision of lining support and cover. Lining may be obtained from the nasal septum, turnover flaps from the wound edge, secondary flaps, or free flaps. Structural support is available from the nasal septal, ear, or costal cartilages. Major reconstruction is often staged and debulking procedures are best performed while the pedicle is still intact.