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Nasal Reconstruction Using the Integra Dermal Regeneration Template

Seth, Akhil K. M.D.; Ratanshi, Imran M.D., M.Sc.; Dayan, Joseph H. M.D.; Disa, Joseph J. M.D.; Mehrara, Babak J. M.D.

Plastic and Reconstructive Surgery: October 2019 - Volume 144 - Issue 4 - p 966-970
doi: 10.1097/PRS.0000000000006072
Reconstructive: Head and Neck: Ideas and Innovations

Summary: The reconstruction of nasal defects following oncologic resection has traditionally involved the use of locoregional flaps or full-thickness skin grafts. However, these options are not always feasible because of limitations in donor tissues, defect size or shape, oncologic issues, or patient preference. Reconstruction in this setting has been limited and unsatisfactory. In this report, the authors present their experience in reconstruction of nasal defects using the dermal regeneration template Integra. In most cases, reconstruction with Integra enabled a single-stage, satisfactory reconstruction. The authors present a simple, standardized technique for application and postoperative care, which has resulted in good aesthetic outcomes.


New York, N.Y.

From the Division of Plastic and Reconstructive Surgery, Memorial Sloan Kettering Cancer Center.

Received for publication May 10, 2018; accepted March 15, 2019.

Disclosure:None of the authors has a financial interest in any of the products or devices mentioned in this article. This work was not supported by any sources of external funding.

Babak J. Mehrara, M.D., Plastic and Reconstructive Surgical Service, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, N.Y. 10075,

Copyright © 2019 by the American Society of Plastic Surgeons