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Facial Plast Surg 2017; 33(01): 067-073
DOI: 10.1055/s-0036-1597988
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Reconstruction of the Intranasal Lining

Joseph Zenga
1   Department of Otolaryngology - Head and Neck Surgery, Washington University School of Medicine, Saint Louis, Missouri
,
John J. Chi
2   Assistant Professor, Division of Facial Plastic & Reconstructive Surgery, Department of Otolaryngology - Head and Neck Surgery, Washington University School of Medicine, Saint Louis, Missouri
› Author Affiliations
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Publication History

Publication Date:
22 February 2017 (online)

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Abstract

Reconstruction of full-thickness nasal defects has been the subject of surgical inquiry and innovation for over 2,000 years. The replacement of the internal nasal lining is a critical feature of complex nasal reconstruction. Successful reconstruction can prevent cicatricial contraction, external distortion, and internal stenosis. An array of reconstructive possibilities has been described, including cutaneous, mucosal, and fascial options. The challenge to the reconstructive surgeon is to select the repair that maximizes internal stability, while maintaining a patent nasal airway, minimizing morbidity, and meeting patient expectations. This article reviews the options available for the reconstruction of the intranasal lining.

Keywords

nasal reconstruction - internal nasal lining - facial reconstruction - nasal mucosal flap - forehead flap
 

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