[Reconstructive nasal surgery--the problem of the internal lining].

Area of Science:

• Plastic Surgery
• Otolaryngology
• Surgical Reconstruction

Context:

• Intranasal wound healing can lead to complications like nostril contracture and scar stenosis.
• Effective internal defect coverage is crucial for successful nasal transplant vascularization.
• Surgical technique selection depends on defect size, location, and surrounding tissue condition.

Purpose:

• To review and discuss various surgical techniques for internal nasal defect coverage.
• To highlight methods for preventing complications associated with secondary wound healing in the nose.

Summary:

• Discusses reconstructive nasal surgery techniques, including the double-stemmed "pot handle" flap for small lobule defects and the septal mucosa flap for larger defects.
• Explains the use of composite skin and cartilage grafts for three-layered nasal defects.
• Highlights the versatility of the turn-in flap for lower nasal half defects.

Impact:

• Provides a guide to selecting appropriate reconstructive methods for diverse internal nasal defects.
• Aims to improve outcomes in nasal reconstruction by detailing effective defect coverage strategies.
• Contributes to the understanding of managing intranasal wounds to prevent stenosis and contracture.