Nasal Reconstruction

Gregory H. Branham, MD.

Nasal reconstruction remains one of the most challenging areas of facial plastic and reconstructive surgery. This complex three-dimensional structure and its prominence in the central face makes restoration of the form and esthetics essential to maintaining identity and self-esteem. Its multiple functions that are essential for smell and respiration make restoring function equally critical to a successful reconstruction and a satisfied patient.

In this issue, we update you on the principles and latest techniques to achieve the aforementioned successful result. We start with a review of nasal anatomy and function and a discussion of the principles applicable to nasal reconstruction. Attention is then turned to the skin–soft tissue envelope with a climb up the reconstructive ladder from secondary intention healing to microvascular free tissue transfer. Reconstruction of the bony and cartilaginous skeleton is reviewed, as well as the methods available for reconstituting the internal lining of the nose.

While we cannot cover every defect or scenario, we articulate principles for nasal reconstruction that will guide the surgeon from planning to postoperative care. It is my hope that you find this useful as a quick reference that covers the essentials and something that you will find useful for the future as well.

I would like to thank the authors who submitted publications for this volume. Their collective wisdom and experience is impressive, and their hard work is evident in the quality of the manuscripts and the results that they obtain with their patients every day. Many thanks to Dr. Anthony Sclafani, the Editor-in Chief, for his vision and guidance and for allowing me to be contribute to the advancement of knowledge in nasal reconstruction.