Reconstruction of major nasal defects

Advanced nasal skin tumours are not uncommon and can be cured with aggressive wide excision. Nasal defects can be reconstructed using a variety of surgical techniques. The principles of nose reconstruction are the creation of a new nasal lining, skeletal framework and skin cover. This paper discusses some of the procedures used in nasal reconstruction and specifically those used in the management of four patients with nasal tumours who recently had surgery in our unit. The objective in nasal cancer surgery is cure by wide excision as even total amputation can be reconstructed with very satisfactory results.