Facial plast Surg 2013; 29(05): 340-345
DOI: 10.1055/s-0033-1353373
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Decision Making in Nasal Reconstruction

P. Daniel Ward
Facial Plastic and Reconstructive Surgery, Division of Otolaryngology—Head and Neck Surgery, University of Utah School of Medicine, Salt Lake City, Utah
Ryan Collar
Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, University of Cincinnati College of Medicine, Cincinnati, Ohio
› Author Affiliations
Further Information

Publication History

Publication Date:
13 September 2013 (online)


Nasal reconstruction is a challenging and rewarding discipline. The nasal subunit principle dramatically improved the surgeon's ability to reconstruct nasal defects by helping disguise incisions within subunit borders and by providing a tool to help in reconstructive decision making. Selection of the proper reconstruction must include the patient's medicosocial situation and the patient's cosmetic concerns. In addition, functional considerations, such as nasal obstruction, that may result from the chosen reconstruction must be carefully considered. For any defect, the most appropriate reconstructive technique is the simplest and most cost-effective method that meets each individual patient's medical, functional, social, and cosmetic goals.