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Updated: Jul 15, 2026
06:13
Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
[Principles of nasal defect repair]
1Hals-Nasen-Ohren-Klinik, Kopf-, Hals-, Plastische Gesichtschirurgie, Städtisches Klinikum Karlsruhe gGmbH, Deutschland. werner.heppt@klinikum-karlsruhe.com
HNO
|May 9, 2007
Summary
Repairing nasal defects, often caused by basal cell carcinomas, involves specific surgical techniques. Defect size dictates the approach, ranging from direct closure for small defects to flaps for larger ones, while respecting nasal aesthetic subunits.
Area of Science:
- Plastic Surgery
- Dermatologic Surgery
- Facial Reconstruction
Context:
- Nasal defects present frequent challenges in facial plastic surgery.
- Basal cell carcinomas are a primary cause of nasal defects requiring surgical repair.
- Standard surgical guidelines for nasal defect repair need modification for specific nasal subunits.
Purpose:
- To outline surgical strategies for nasal defect repair based on defect size and location.
- To emphasize the importance of respecting nasal aesthetic subunits for optimal outcomes.
- To discuss the use of direct closure, local flaps, regional flaps, free skin grafts, and auricular composite grafts.
Summary:
- Small nasal defects (up to 1 cm) can be closed directly.
- Defects up to 2.5 cm typically require local flaps.
- Larger or more complex defects, particularly on the nasal tip, alar region, columella, and vestibulum, necessitate regional flaps (e.g., paramedian forehead flap) or grafts (free skin or auricular composite).
Impact:
- Provides a framework for surgeons to select appropriate reconstruction methods for nasal defects.
- Aims to improve aesthetic results in nasal reconstruction by adhering to subunit principles.
- Contributes to the understanding of reconstructive options for various nasal defect sizes and locations.
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