Davos Courses

General Editor: Daniel Buchbinder

Authors: Frederick J Menick

Nose Reconstruction Small superficial defect

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Glossary

Secondary healing
Main indication Skill Equipment
Small superficial defects located in the medial canthus or in the alar crease. Basic surgical experience, no specialized skills Basic equipment only

Advantages

  • Simplest method of reconstruction
  • Results in a relatively invisible scar when the defect overlies the flat nasal side wall or the depth of the alar crease

Disadvantage

  • Can only be applied to secondary healing defects up to 4 to 6 mm in diameter to minimize the risk of excessive wound contracture and distortion of adjacent landmarks such as the nostril margin
Full thickness skin graft
Main indication Skill Equipment
Resurfacing of superficial defects with an intact vascularized subcutaneous layer and without exposed bare cartilage. Basic surgical experience, no specialized skills Basic equipment only

Advantage

  • Simple reconstructive method resulting in excellent color match

Disadvantages

  • Limited to superficial skin defects where the underlying cartilage is not exposed
  • Additional donor site required
One stage nasolabial flap
Main indication Skill Equipment
Small superficial defects within the nasal ala or sidewall. Some specialized surgical experience Basic equipment only

Advantage

  • Local flap with axial blood supply

Disadvantage

  • Might require secondary procedure for debulking
*Skill
Basic surgical experience, no specialized skills Basic surgical experience, no specialized skills
Some specialized surgical experience Some specialized surgical experience
Highly experienced and skilled surgeon Highly experienced and skilled surgeon
*Equipment
Basic equipment only Basic equipment only
Simple surgical and imaging resources Simple surgical and imaging resources
Full specialized surgical and imaging resources Full specialized surgical and imaging resources

v1.0 2014.09.11