General Editor: Daniel Buchbinder

Authors: Frederick J Menick

Nose Reconstruction

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Glossary

Small superficial defect

Please select a treatment option:
Treatment Main indication Skill Equipment
Secondary healing Small superficial defects located in the medial canthus or in the alar crease. Basic surgical experience, no specialized skills Basic equipment only
Full thickness skin graft Resurfacing of superficial defects with an intact vascularized subcutaneous layer and without exposed bare cartilage. Basic surgical experience, no specialized skills Basic equipment only
One stage nasolabial flap Small superficial defects within the nasal ala or sidewall. Some specialized surgical experience Basic equipment only

Large partial thickness defect

Please select a treatment option:
Treatment Main indication Skill Equipment
Two stage forehead flap - Ala reconstruction Single subunit partial thickness defects (>1.5 cm) of the ala requiring only modest skin resurfacing and limited cartilage replacement. Highly experienced and skilled surgeon Simple surgical and imaging resources
Two stage forehead flap - Tip reconstruction Single subunit defects (>1.5) of the tip that require only modest skin resurfacing and limited cartilage replacement. Highly experienced and skilled surgeon Simple surgical and imaging resources
Three stage forehead flap Large deep defects (>1.5 cm) which encompass multiple nasal units requiring extensive replacement of cartilage support or lining replacement. Highly experienced and skilled surgeon Simple surgical and imaging resources

Full thickness defects

Please select a treatment option:
Treatment Main indication Skill Equipment
Three stage forehead folded flap Large deep defects (up to 2-2.5 cm) which encompass multiple nasal units and require extensive replacement of cartilage support or nasal lining. Highly experienced and skilled surgeon Simple surgical and imaging resources
Four stage forehead flap with radial forearm flap for lining Subtotal and total nasal reconstructions. Highly experienced and skilled surgeon Full specialized surgical and imaging resources
*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