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Nasal Reconstruction: A Simplified Approach Based on 419 Operated Cases.

P Konofaos1, S Alvarez, J E McKinnie

  • 1Department of Plastic Surgery, University of Tennessee Health Science Center, 910 Madison Ave, Room 315, Memphis, TN, 38103, USA.

Aesthetic Plastic Surgery
|November 22, 2014
PubMed
Summary
This summary is machine-generated.

This review presents a simplified approach for nasal reconstruction after Mohs surgery, detailing a 10-year experience. The findings offer guidance for plastic surgeons on efficient and effective nasal defect repair.

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Area of Science:

  • Plastic Surgery
  • Dermatology
  • Surgical Reconstruction

Background:

  • Mohs micrographic surgery (MMS) frequently results in nasal defects requiring reconstruction.
  • A single surgeon's decade-long experience with nasal reconstruction is analyzed.
  • The study aims to establish a simplified approach for closing nasal defects post-MMS.

Purpose of the Study:

  • To review a 10-year experience with nasal defects.
  • To propose a simplified algorithm for nasal reconstruction after Mohs surgery.
  • To aid novice plastic surgeons in reconstructive planning.

Main Methods:

  • Retrospective chart review of patients undergoing nasal reconstruction after MMS.
  • Data collection included patient demographics, defect location, reconstruction type, and operative procedures.
  • Analysis of 419 patients over a 10-year period.

Main Results:

  • The nasal dorsum and sidewalls were the most common sites for reconstruction (66.35%).
  • Complications were most frequent in tip ± ala reconstructions.
  • The bilobed flap was the most utilized technique, followed by nasolabial flaps and full-thickness skin grafts (FTSGs).

Conclusions:

  • A simplified, algorithm-based approach for nasal reconstruction is presented.
  • The strategy relies on common local flaps and skin grafting techniques.
  • This method aims for efficient, easy execution, and acceptable aesthetic and functional outcomes for plastic surgeons.