Partial and total reconstruction of the nose

Area of Science:

• Plastic Surgery
• Reconstructive Surgery

Background:

• Nasal defects require specialized reconstructive techniques.
• Various flap methods have been developed for nasal reconstruction.

Purpose of the Study:

• To present and evaluate specific flap techniques for partial and total nasal reconstruction.
• To highlight modifications and substitutions of established reconstructive methods.

Main Methods:

• Utilized original forehead compound-island flap and Schmid-Meyer frontotemporal flap for partial nasal reconstruction.
• Applied modified Orticochea/Washio fronto-parieto-auricular flap for lower two-thirds nasal repair.
• Employed Galvao's fronto-parieto-occipital flap, replacing Converse's scalp flap for total nasal reconstruction.

Main Results:

• Demonstrated successful application of diverse flaps for different extents of nasal defects.
• Showcased the efficacy of modified and novel flap techniques in achieving nasal form and function.
• Highlighted a shift towards more advanced flap options for complex reconstructions.

Conclusions:

• The presented flap techniques provide effective options for various nasal reconstruction needs.
• Specific flap choices are tailored to the extent and location of the nasal defect.
• Advancements in flap surgery offer improved outcomes in reconstructive plastic surgery.