[Analysis of the possibilities for reconstruction of partial nasal tissue loss]

The surgical reconstruction of the nasal pyramid requires a precise analysis of the position, dimension and depth of the loss of substance. The means usable are numerous and the author gives his personal approach on the techniques which he generally carries out. In cancerology it is of course necessary to preliminarily perform a sufficiently broad excision before reconstruction. The plastic surgery must be done plane by plane with tissue of equivalent quality. Osseointegrated epistheses are to be reserved for particular cases when reconstructive plastic surgery cannot be proposed for local or general reasons.