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Facial Plast Surg 2017; 33(01): 058-066
DOI: 10.1055/s-0036-1597898
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Nasal Reconstruction Involving Multiple Subunit Defects

Artemus Cox
1   Department of Otolaryngology, University of Alabama School of Medicine Ringgold Standard Institution, Birmingham, Alabama
,
Matthew Fort
1   Department of Otolaryngology, University of Alabama School of Medicine Ringgold Standard Institution, Birmingham, Alabama
› Author Affiliations
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Publication History

Publication Date:
22 February 2017 (online)

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Abstract

The challenges of nasal reconstruction are readily apparent to any surgeon who has undertaken this task. Defects involving multiple subunits of the nose usually require adjacent tissue transferred to the wound typically in the form of a forehead flap or other local flaps. Herein, we describe current thought on the subunit principle and the application of local flaps and grafts in reconstructing larger superficial defects of the nose. Primary attention is paid to analysis and patient counseling.

Keywords

nasal reconstruction - subunit principle - forehead flap
 

  • References

  • 1 González-Ulloa M. Regional aesthetic units of the face. Plast Reconstr Surg 1987; 79 (3) 489-490
    PubMedGoogle Scholar
  • 2 Burget GC, Menick FJ. Aesthetic Reconstruction of the Nose. St. Louis: Mosby; 1994
    Google Scholar
  • 3 Rohrich RJ, Griffin JR, Ansari M, Beran SJ, Potter JK. Nasal reconstruction--beyond aesthetic subunits: a 15-year review of 1334 cases. Plast Reconstr Surg 2004; 114 (6) 1405-1416 , discussion 1417–1419
    PubMedGoogle Scholar
  • 4 Baker SR. Baker Local Flaps in Facial Reconstruction. 2nd ed. Ann Arbor: Mosby Elsevier; 2007
    Google Scholar
  • 5 Jackson IT. Local Flaps in Head and Neck Reconstruction. 2nd ed. St Louis: Quality Medical Publishing Inc; 2007: 101-240
    Google Scholar
  • 6 Correa BJ, Weathers WM, Wolfswinkel EM, Thornton JF. The forehead flap: the gold standard of nasal soft tissue reconstruction. Semin Plast Surg 2013; 27 (2) 96-103
    Article in Thieme ConnectPubMedGoogle Scholar
  • 7 Menick FJ. Nasal reconstruction with a forehead flap. Clin Plast Surg 2009; 36 (3) 443-459
    CrossrefPubMedGoogle Scholar
  • 8 Menick FJ. A 10-year experience in nasal reconstruction with the three-stage forehead flap. Plast Reconstr Surg 2002; 109 (6) 1839-1855 , discussion 1856–1861
    CrossrefPubMedGoogle Scholar
  • 9 Parrett BM, Pribaz JJ. An algorithm for treatment of nasal defects. Clin Plast Surg 2009; 36 (3) 407-420
    CrossrefPubMedGoogle Scholar
  • 10 Oo KK, Park SS. The midline forehead flap in nasal reconstruction. Facial Plast Surg Clin North Am 2011; 19 (1) 141-155
    CrossrefPubMedGoogle Scholar
  • 11 Rahman M, Jefferson N, Stewart DA, Oliver R, Walsh WR, Gianoutsos MP. The histology of facial aesthetic subunits: implications for common nasal reconstructive procedures. J Plast Reconstr Aesthet Surg 2010; 63 (5) 753-756
    CrossrefPubMedGoogle Scholar
  • 12 Davis RE, Wachholz JH, Jassir D, Perlyn CA, Agrama MH. Comparison of topical anti-ischemic agents in the salvage of failing random-pattern skin flaps in rats. Arch Facial Plast Surg 1999; 1 (1) 27-32
    CrossrefPubMedGoogle Scholar