Learning Objectives: After studying this article, the participant should be able to: 1. Describe the goals of nasal reconstruction as they apply to extensive, complex defects that may also involve the adjacent lip or cheeks. 2. Understand the advantages and disadvantages of different options for reconstruction of lining, skeletal support, and skin cover. 3. Discuss current advances in complex nasal reconstruction, including microvascular reconstruction of lining and the three-stage forehead flap. 4. Understand the concepts of laminated and prelaminated flaps and their application in complex nasal defects.
Summary: In this article, the authors review methods of reconstructing complex, multilayered nasal defects that may involve surrounding central facial structures. Different means of lining, skeletal support, and skin cover reconstruction are discussed. Emphasis is placed on newer, state-of-the art techniques and reinforcing basic principles.
From the Division of Plastic Surgery, Brigham and Women’s Hospital and Harvard Medical School.
Received for publication August 10, 2006; accepted October 30, 2006.
Julian J. Pribaz, M.D., Division of Plastic Surgery, Brigham and Women’s Hospital, 75 Francis Street, Boston, Mass 02115, firstname.lastname@example.org
Disclosures: Neither author has any financial benefits or commercial associations that might pose or create a conflict of interest with information presented in this article. The creation of this article was not supported by any outside funds.