Aesthetic and Functional Outcome following Nasal Reconstruction

Abstract

Although objective functional and aesthetic outcome following nasal reconstruction sometimes shows impairment compared with the normal situation, it gives high subjective patient satisfaction with function and aesthetics.

A Retrospective Review of Reconstructive Options and Outcomes of 202 Cases Large Facial Mohs Micrographic Surgical Defects, Based on the Aesthetic Unit Involved

“…For these complex facial defects, a multidisciplinary team approach is of increasing importance. 8,10,16 Tumour extirpation using MMS by the dermatologist followed by reconstruction of complex facial defects by a reconstructive surgeon combines an efficient and reliable treatment of these skin malignancies with a satisfactory aesthetic outcome. 6 Over 60% of our patients presented with a recurrent tumour prior to MMS (64% of BCCs and 53% of SSCs).…”

Reconstruction of the nose with a new double flap technique: microvascular osteocutaneous femur and microvascular chondrocutaneous ear flap—first clinical results

“…The inner lining with the limb skin also resulted in good nose function as previously described for other free vascularised flaps 9 or local flaps. 3,5,10 In conclusion it can be stated that the microvascular osteocutaneous femur flap can be used for bone reconstruction and the inner soft tissue lining of the nose after subtotal resection. This flap can be combined with the microvascular temporal artery auricular flap that is well suited for outer nasal reconstruction of the hemi-nose.…”

“…In small non-penetrating defects, free grafts as well as local flaps can be used for defect coverage depending on the subunits of the nose to be reconstructed. 4,5,8,23,24 If there are subtotal or total penetrating nose defects, free non-vascularised graft transfer alone is not successful. 17 In these patients only prosthetic 1,2 or extended surgical treatment is possible to reconstruct the deficient part of the face.…”

“…4 They think that a high degree of patient satisfaction can be achieved, although the objective functional and aesthetic outcome is sometimes impaired compared with the normal situation. 5 Every surgeon tries to achieve the best possible aesthetic and functional result using several different surgical techniques for covering complex defects. The best surgical technique is chosen according to the defect type, extending to nasal subunits 6-8 and neighbouring tissue defects as required.…”

Single-Stage Reconstruction of a Full-Thickness Alar Defect Using a Folded Nasolabial Flap Combined With a Redundant Skin Turnover Flap

“…With skin deficits of the alar exceeding 1.5 cm, according to the algorithm that Moolenburgh et al advocated, a forehead flap or nasolabial flap is recommended. 2 Nasolabial and forehead flaps are the primary flaps used for reconstruction along with staged local flaps. Use of cartilage reinforcement grafts and internal lining reconstruction are also key elements in Asian patients, 3 and better results have reportedly been obtained with nasolabial flaps than with median forehead flaps in Asian patients.…”