Abstract
The nose is undoubtedly an important facial feature. The rhinologic surgeon with interest in external nasal soft tissue surgery, oncologic or otherwise, may often require reconstruction of a soft tissue defect, from the medial canthus to the nasal ala laterally, to the nasal tip medially. The coverage needs tissues which resemble the adjoining skin texture and have a thickness which would fill the defect appropriately without appearing as a separate patch and upset the patient psychologically. Therefore we utilized local rotation and advancement flaps for the reconstruction of facial defects. Experience with these flaps is being shared. DOI: 10.21276/AABS.2017.1341
Highlights
The history of nasal reconstruction parallels that of plastic surgery
As ENTHNS surgeons, we evaluate lesions which require reconstruction after excision and using simple techniques we can do without the assistance of plastic surgery colleagues
Employed local flaps for defects along the medial canthus, nasal dorsum and nasal ala include the Nasolabial flap, Forehead transposition flap and Rintala flap which use the principles of VY advancement and Burows triangle
Summary
The history of nasal reconstruction parallels that of plastic surgery. The first procedure that was used for the nasal reconstruction was the midline forehead flap. The present era reconstructive surgeon has a number of options in his armamentarium like local tissue from the nose, cheek, and forehead and grafts from the nasal septum, ear, rib, hip, and calvaria [2]. As ENTHNS surgeons, we evaluate lesions which require reconstruction after excision and using simple techniques we can do without the assistance of plastic surgery colleagues.
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