Facial plast Surg 2015; 31(03): 194-200
DOI: 10.1055/s-0035-1555619
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Management of Nasal and Perinasal Soft Tissue Injuries

Tara Ramachandra1, William Russell Ries1
  • 1Department of Otolaryngology, Vanderbilt University Medical Center, Nashville, Tennessee
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Publication History

Publication Date:
30 June 2015 (online)


The prominence of the nose renders it susceptible to soft tissue trauma of multiple etiologies. In this review, we present a framework for evaluation and treatment of nasal soft tissue injuries. Initial evaluation of nasal soft tissue injuries should include a complete trauma assessment, history, and physical examination. Mechanisms described include lacerations, abrasions, bites, and thermal injuries. Finally, we discuss wound care and surgical treatment options, including local flap and free tissue transfer. Though timing of repair remains somewhat controversial, most sources indicate that immediate reconstruction should be undertaken when possible.