Prelamination to Reconstruct Internal Nasal Lining

Abstract

The reconstruction of internal lining in nasal reconstruction is critical to the final result. Most established techniques carry important drawbacks, which include limited available lining surface area, compromise of nasal physiologic function, or donor site morbidity. In this report, we demonstrate a technique that is reliable, technically facile, and allows for the reconstruction of large surface areas: the creation of a bilaminated forehead flap by in situ split-thickness skin grafting. The use of the bilaminated forehead flap in subsequent reconstructive steps allows for dependable reconstruction. All relevant technical steps are illustrated in detail.

Keywords

forehead flap - total nasal reconstruction - internal nasal lining

• References

• 1 Tollefson TT, Kriet JD. Complex nasal defects: structure and internal lining. Facial Plast Surg Clin North Am 2005; 13 (2) 333-343 , vii
• 2 Seth R, Revenaugh PC, Scharpf J , et al. Free anterolateral thigh fascia lata flap for complex nasal lining defects. JAMA Facial Plast Surg 2013; 15 (1) 21-82
• 3 Menick FJ. Nasal reconstruction. Plast Reconstr Surg 2010; 125 (4) 138e-150e
• 4 Burget GC, Menick FJ. Aesthetic Reconstruction of the Nose. Mosby – Year Book, St. Louis, Missouri; 1992