Reconstruction of Cutaneous Nasal Defects

Area of Science:

• Dermatology
• Plastic Surgery
• Surgical Oncology

Background:

• Mohs micrographic surgery is the gold standard for treating skin cancer.
• Reconstruction of nasal defects after Mohs surgery presents unique challenges.
• Maintaining nasal form and function is paramount in reconstruction.

Purpose of the Study:

• To review reconstructive techniques for nasal defects post-Mohs surgery.
• To highlight the importance of a subunit approach in planning nasal reconstruction.
• To discuss factors influencing successful outcomes in nasal reconstruction.

Main Methods:

• Review of established reconstructive options for nasal defects.
• Discussion of advantages and disadvantages of each technique.
• Emphasis on the subunit principle for aesthetic and functional restoration.

Main Results:

• A spectrum of reconstructive options exists, including secondary intent, primary closure, skin grafts, local flaps, and interpolated flaps.
• Each technique offers specific benefits and drawbacks.
• A subunit approach facilitates surgical planning and improves results.

Conclusions:

• Nasal reconstruction after Mohs surgery requires careful consideration of multiple techniques.
• The subunit approach is a valuable tool for achieving optimal aesthetic and functional outcomes.
• Postoperative care and judicious use of adjunctive procedures enhance results.