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Facial Plast Surg 1998; 14(2): 145-150
DOI: 10.1055/s-2008-1064338
© 1998 by Thieme Medical Publishers, Inc.

Total Nasal Reconstruction with Alloplastic and Autogenous Grafts

Min S. Ahn, Nathan Monhian, Corey S. Maas, Nadim B. Bikhazi
  • The Department of Otolaryngology-Head and Neck Surgery and the Division of Facial Plastic and Reconstructive Surgery at the University of California at San Francisco, San Francisco, California
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Publication History

Publication Date:
02 June 2008 (online)

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ABSTRACT

The basic principles of successful total nasal reconstruction include providing a sufficient amount of tissue coverage, creating an adequate structural framework, and fashioning a viable inner lining. Relative uniformity of opinion exists regarding sources for tissue coverage and nasal lining. A variety of options exists, however, regarding the type of material used for nasal framework. Alloplastic metals, such as vitallium or titanium mesh, combined with autogenous soft tissue coverage, are reliable alternatives for use in total nasal reconstruction.

KEY WORDS

Total nasal reconstruction - paramedian forehead flap - alloplastic - autogenous - vitallium - titanium