Nasal Reconstruction

7.12.1 Review the blood supply to the nose.

7.12.2 What are the aesthetic subunits of the nose? How does this apply to nasal reconstruction?

Shumrick KA, Campbell A, Becker FF, Papel ID.Modification of the subunit principle for reconstruction of nasal tip and dorsum defects. Arch Facial Plast Surg. 1999 Jan-Mar;1(1):9-15. PMID:10937068

7.12.3 Name some common local flaps used in nasal reconstruction. Be prepared to draw each.

7.12.4 Can pin cushioning of a local flap be avoided?

7.12.5 A 70 year-old male is referred by a Moh's surgeon for management of a 1cm full-thickness defect at the tip of his nose. What are the reconstructive options?

7.12.6 The Moh's surgeon was so impressed by your results in the previous patient, he now sends you a patient with a full nasal alar defect…

Hatoko M, et al. An evaluation of hard palate mucosa graft as a lining material in alar reconstruction: a 7-year experience applied to the full-thickness alar defect. Plast Reconstr Surg. 2000 May;105(6):1940-7. PMID:10839390

Driscoll BP, Baker SR. Reconstruction of nasal alar defects. Arch Facial Plast Surg. 2001 Apr-Jun;3(2):91-9. PMID:11368658

7.12.7 Give us the scoop on the midline forehead flap.

7.12.8 Describe the methods available for reconstruction of the bony nasal framework.

7.12.9 Discuss the management of a septal perforation.

7.12.10 What are the options for management of rhinophyma?