Facial plast Surg 2013; 29(05): 411-416
DOI: 10.1055/s-0033-1353382
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Prelamination to Reconstruct Internal Nasal Lining

Holger Gassner1, Haneen Sadick2, Frank Haubner1, Verena Artinger1, Thomas Kuehnel1
  • 1Department of ENT, University of Regensburg, Regensburg, Germany
  • 2Department of ENT, University of Mannheim, Mannheim, Germany
Further Information

Publication History

Publication Date:
13 September 2013 (online)


The reconstruction of internal lining in nasal reconstruction is critical to the final result. Most established techniques carry important drawbacks, which include limited available lining surface area, compromise of nasal physiologic function, or donor site morbidity. In this report, we demonstrate a technique that is reliable, technically facile, and allows for the reconstruction of large surface areas: the creation of a bilaminated forehead flap by in situ split-thickness skin grafting. The use of the bilaminated forehead flap in subsequent reconstructive steps allows for dependable reconstruction. All relevant technical steps are illustrated in detail.