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Facial Plast Surg 2020; 36(02): 158-165
DOI: 10.1055/s-0040-1709141
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Management of Complicated Nasal Defects

James Owusu
1   Department of Otolaryngology - Head and Neck Surgery, Mid-Atlantic Permanente Medical Group, McLean, Virginia
2   Department of Surgery, Uniformed Services University, Bethesda, Maryland
,
Blaine Nesbitt
3   Department of Otolaryngology - Head and Neck Surgery, Uniformed Services University, Bethesda, Maryland
,
Kofi Boahene
4   Department of Otolaryngology Head and Neck Surgery, Johns Hopkins Medical Institute, Baltimore, Maryland
› Author Affiliations
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Publication History

Publication Date:
15 May 2020 (online)

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Abstract

The nose is the most common site for nonmelanoma skin cancer. Fortunately, most skin cancer lesions on the nose are discovered early and their timely diagnosis and excision result in superficial defects that can be reconstructed with minimal impact on the aesthetics and function. Reconstruction of full-thickness defects of the nose remains a challenging endeavor for reconstructive surgeons. An organized and systematic approach is necessary to streamline the analysis, planning, and reconstruction complex nasal defects to consistently achieve optimal results. This article reviews options for reconstructing full-thickness nasal defects and highlights current advances in established techniques.

Keywords

nasal reconstruction - total nasal defect - forehead flap - full-thickness nasal defects