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Updated: Dec 21, 2025

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Management of Complicated Nasal Defects
James Owusu1,2, Blaine Nesbitt3, Kofi Boahene4
1Department of Otolaryngology - Head and Neck Surgery, Mid-Atlantic Permanente Medical Group, McLean, Virginia.
Abstract:
The nose is the most common site for nonmelanoma skin cancer. Fortunately, most skin cancer lesions on the nose are discovered early and their timely diagnosis and excision result in superficial defects that can be reconstructed with minimal impact on the aesthetics and function. Reconstruction of full-thickness defects of the nose remains a challenging endeavor for reconstructive surgeons. An organized and systematic approach is necessary to streamline the analysis, planning, and reconstruction complex nasal defects to consistently achieve optimal results. This article reviews options for reconstructing full-thickness nasal defects and highlights current advances in established techniques.
Insights
Reconstructing full-thickness nasal defects from skin cancer is challenging. This review covers current techniques and advances for optimal surgical outcomes in nasal reconstruction.
Area of Science:
- Plastic Surgery
- Dermatology
- Oncology
Background:
- Nonmelanoma skin cancer frequently affects the nose, the most common facial site.
- Superficial nasal defects from early detection are typically reconstructed with minimal functional or aesthetic compromise.
- Full-thickness nasal defects present significant reconstructive challenges for surgeons.
Purpose of the Study:
- To review established and advanced techniques for reconstructing full-thickness nasal defects.
- To emphasize a systematic approach for analyzing, planning, and executing nasal reconstructions.
Main Methods:
- Review of current literature on nasal defect reconstruction techniques.
- Analysis of established surgical methods and recent advancements.
Main Results:
- Various reconstructive options exist for full-thickness nasal defects.
- A structured approach aids in achieving optimal functional and aesthetic results.
Conclusions:
- Reconstruction of complex nasal defects requires careful planning and execution.
- Advances in surgical techniques continue to improve outcomes for full-thickness nasal reconstruction.
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