CONTEXT Reconstruction of extensive nasal defects often represents a significant challenge owing to several unique qualities of the nose, such as complex topography, mobile free margins, and multiple nasal subunits. Furthermore, loss of internal nasal lining and/or structural skeletal support may be present following removal of extensive skin cancers. OBJECTIVE To describe our experience with...

BACKGROUND Total nasal defects present daunting challenges to the reconstructive surgeon. The nasal skeleton can be successfully fabricated with bone and cartilage. Reconstruction of the nasal skin with a forehead flap produces an excellent color match for nasal skin. Resurfacing of the internal lining is the most difficult of the 3 layers. Local tissue is often unsatisfactory in amount and/or ...

We describe the case of a 46-year-old woman with a rare presentation of angioleiomyoma of the subcutaneous nasal tissue. The patient presented with pain and severe nasal obstruction. Her nasal deformity was sufficient to indicate an external rhinoplasty for both extirpation of the tumor and reconstruction of the defect with cartilage grafts. The procedure resulted in successful removal of the t...

Aesthetic restoration of acquired nasal defects has intrigued reconstructive surgeons for centuries. Because of the myriad reconstructive options, there is a need for a logical and sequential approach to the decision-making process used in choosing the appropriate reconstruction for a specifi c nasal defect. Based on a literature review and extensive clinical experience, a recommended outline i...

Nasal ala, due to its characteristics, is a unique anatomical part of the body. Unfortunately, nasal ala often suffers traumas or is affected by cancers, the treatment of which can imply all-thickness amputation. In such cases, complex reconstruction is necessary to recreate both a satisfying cosmetic structure and to ensure free airflow. We present a clinical case of nasal ala major substance ...

Reconstruction of the cleft nasal deformity can often pose a significant challenge to a rhinoplasty surgeon. Principal features of unilateral and bilateral cleft nasal deformities and their changes with growth are discussed. This article reviews current trends in cleft nasal rhinoplasty associated with early and late intervention. Finally, the authors review their own data on the applications o...

THE normal columella consists of the medial crura of the alar cartilages surrounded by skin. Its logical anatomical reconstruction should therefore also have a central cartilaginous axis. This may be accomplished in cases of short columella following bilateral hare lips by rotating downwards part of the nasal septum. The method not only lengthens the columella but also elevates the flat nasal t...

OBJECTIVES To review the repair of smaller nasal defects (≤1.5 cm) and their associated complications, elaborating on nasal obstruction and techniques to avoid it, and to determine outcomes with functional cartilage grafting. METHODS The medical records of patients requiring nasal reconstruction for Mohs defects 1.5 cm or smaller were reviewed. Variables analyzed included defect location, def...

Empty nose syndrome is a complication of nasal surgery wherein patients develop a persistent, debilitating sense of nasal obstruction and dyspnea despite clear nasal cavities. It is characterized by a discrepancy between prominent subjective symptoms and near total lack of objective findings, making it difficult to diagnose. The pathophysiology of empty nose syndrome is a complex mix of aerodyn...

The tumors of the anterior cranial cavity can either be malignant or benign. They usually arise in the nasal or Para nasal sinuses. Treatment of these tumors includes major craniofacial resection and reconstruction to prevent cerebrospinal fluid leak and meningitis. In this study we are presenting a technique which is simple and cost-effective. We are reporting a series of nine cases in which t...