Comparison of aesthetic outcomes and morbidity of nasal reconstruction with forehead flaps and free flaps

Abstract

The most common etiology of nasal defects that require reconstruction is skin cancer, particularly basal cell carcinoma, the most common nasal skin cancer, as well as squamous cell carcinoma, and melanoma. Reconstruction of extensive nasal defects including nasal bone, septum, and esthetically defined units of the nose always represent with certain difficulties. Forehead flaps and free flaps can be utilized for reconstruction of extensive nasal defects. The forehead flap is a reliable and well-established reconstructive option for management of extensive nasal defects. We aimed to compare the esthetic and functional results of forehead flaps and free flaps for reconstruction of extensive nasal defects.

Rhinoplasty in Context of Head and Neck Malignancy

“…Pyramid plastic and a modification of the nasal valve are similar to endonasal surgery. To correct a deformity of the nasal bone or cartilaginous pyramid, it is possible to perform different procedures such as the repositioning of the anterior septum; the narrowing and push-up of the bone pyramid after osteotomy; the enlargement of the pyramid by inserting a dorsal transplant of septal cartilage, auricular or costal; the increase of the lobular projection; and the narrowing of the lobule itself or the lengthening or lowering of the columella [15][16][17][18].…”

“…Meticulous attention should be addressed in the artistic rendering of normal nasal dimensions in both size and proportion and form through the use of cartilage grafts and the use of final skin revisions. In addition these techniques help to restore the normal aerial sector [18,44].…”