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Structural Support for Large to Total Nasal Reconstruction
This article will review approaches to the reconstruction of structural support in large nasal defects.PMID:38575284 | DOI:10.1016/j.fsc.2024.01.005 (Source: The Surgical Clinics of North America)
Source: The Surgical Clinics of North America - April 4, 2024 Category: Surgery Authors: Corin M Kinkhabwala Krishna G Patel Source Type: research

Nuances in Forehead Flap Reconstruction for Large Nasal Defects
Facial Plast Surg Clin North Am. 2024 May;32(2):271-279. doi: 10.1016/j.fsc.2023.11.002. Epub 2023 Dec 23.ABSTRACTThe forehead flap is a time-tested and robust resurfacing flap used for nasal reconstruction. Owing to its excellent color and texture match, acceptable donor site morbidity, and robust and independent blood supply that can support both structural and internal lining grafts, this flap remains the workhorse flap for resurfacing large nasal defects. Various nuances of this technique relating to defect and template preparation, flap design, flap elevation, flap inset, donor site closure, and pedicle division are d...
Source: The Surgical Clinics of North America - April 4, 2024 Category: Surgery Authors: Betsy Szeto Hannah Jacobs-El Stephen S Park Source Type: research

Revision Nasal Reconstruction After Previous Forehead Flap
Facial Plast Surg Clin North Am. 2024 May;32(2):281-289. doi: 10.1016/j.fsc.2023.12.003. Epub 2024 Jan 9.ABSTRACTReconstructing the nose poses considerable challenges, even for the most skilled surgeons. Significant nasal reconstructions often require later revisions to address persistent issues in both form and function, and it is crucial to discuss this possibility with the patient before embarking on the reconstructive process. Minor revisions can often be managed by making direct incisions between nasal subunits, coupled with soft tissue sculpting or the use of structural grafts for augmentation. When minor adjustments...
Source: The Surgical Clinics of North America - April 4, 2024 Category: Surgery Authors: Jeffrey Mella Samuel L Oyer Source Type: research

Reconstruction of Large Composite Defects Extending Beyond the Nose
This article will focus on the management of composite defects extending beyond the boundaries of the nose. Surgeons need to have a variety of techniques at their disposal. These complex defects often require multiple local flaps, multiple stages, and, in select cases, free tissue transfer.PMID:38575287 | DOI:10.1016/j.fsc.2024.01.006 (Source: The Surgical Clinics of North America)
Source: The Surgical Clinics of North America - April 4, 2024 Category: Surgery Authors: Dominic Vernon Taha Z Shipchandler Source Type: research

Prevention and Management of Complications in Nasal Reconstruction
Facial Plast Surg Clin North Am. 2024 May;32(2):303-313. doi: 10.1016/j.fsc.2024.01.009. Epub 2024 Mar 4.ABSTRACTNasal reconstruction is a challenging practice with the potential for complications. Surgeons can prevent complications through preoperative optimization of patient factors, refinement of intraoperative surgical techniques, and postoperative surgical and nonsurgical wound care. Preoperatively, optimization of modifiable and recognition of nonmodifiable risk factors is paramount. Intraoperatively, meticulous flap design and surgical technique promote healing. In the postoperative setting, attentive wound care, ad...
Source: The Surgical Clinics of North America - April 4, 2024 Category: Surgery Authors: Hannah N Kuhar Ryan Nesemeier Leslie R Kim Source Type: research

Management of Traumatic Nasal Avulsion Injuries
Facial Plast Surg Clin North Am. 2024 May;32(2):315-325. doi: 10.1016/j.fsc.2024.01.007. Epub 2024 Feb 13.ABSTRACTSoft tissue injuries to the midface (and nose) are common causes for seeking trauma care. As trauma patients, observing advanced trauma life support protocols is warranted given the risk of concomitant injuries. Here, options for optimizing tissue preservation, microvascular replantation, non-microvascular tissue replacement, and wound stabilization are discussed. Included in this discussion are data-driven predictors for successful replantation as well as technique descriptions with anatomic references to guid...
Source: The Surgical Clinics of North America - April 4, 2024 Category: Surgery Authors: Scott Bevans Source Type: research

Prosthetic Nasal Reconstruction
Facial Plast Surg Clin North Am. 2024 May;32(2):327-337. doi: 10.1016/j.fsc.2023.12.002. Epub 2024 Jan 5.ABSTRACTProsthetic nasal reconstruction provides a restorative option for patients with nasal defects, and these can be retained with a variety of methods including adhesives and implants. These prostheses can significantly improve appearance, self-esteem, and quality of life for patients and they restore many functions of the external nose. Traditional fabrication methods are often used by the skilled professionals who make these custom prostheses, but digital technology is improving the workflow for design and fabrica...
Source: The Surgical Clinics of North America - April 4, 2024 Category: Surgery Authors: Michelle K Ruse Michaela Calhoun Betsy K Davis Source Type: research

Nasal Reconstruction
Facial Plast Surg Clin North Am. 2024 May;32(2):xiii. doi: 10.1016/j.fsc.2024.02.002. Epub 2024 Mar 6.NO ABSTRACTPMID:38575291 | DOI:10.1016/j.fsc.2024.02.002 (Source: The Surgical Clinics of North America)
Source: The Surgical Clinics of North America - April 4, 2024 Category: Surgery Authors: Anthony P Sclafani Source Type: research

Major Nasal Reconstruction: Rising to the Challenge
Facial Plast Surg Clin North Am. 2024 May;32(2):xv-xvi. doi: 10.1016/j.fsc.2024.01.001. Epub 2024 Jan 25.NO ABSTRACTPMID:38575292 | DOI:10.1016/j.fsc.2024.01.001 (Source: The Surgical Clinics of North America)
Source: The Surgical Clinics of North America - April 4, 2024 Category: Surgery Authors: Samuel L Oyer Source Type: research

Implications of Malignancy, Radiation, and Timing of Major Nasal Reconstruction
Facial Plast Surg Clin North Am. 2024 May;32(2):189-198. doi: 10.1016/j.fsc.2023.12.001. Epub 2024 Jan 9.ABSTRACTOwing to the complex, multilayered anatomy of the nose in the central face, major nasal reconstruction can pose a significant challenge for reconstructive surgeons. It is the responsibility of reconstructive surgeons to have an understanding of the most common cutaneous malignancies and excisional techniques that may lead to complex nasal defects. The purpose of this article is to discuss these malignancies, excisional techniques, and impacts of radiation on tissue that has implications for reconstructive surgeo...
Source: The Surgical Clinics of North America - April 4, 2024 Category: Surgery Authors: Jin Soo Song Stephen P Smith Chaz L Stucken Source Type: research

Approach to Major Nasal Reconstruction: Benefits of Staged Surgery and Use of Technology
This article reviews special considerations in complex nasal defects including treatment of adjacent subunit defects, timing of repair with radiation, reconstruction in patients with prior repairs or recurrent disease, and the role of prosthetics. The role of technological advances including virtual surgical planning, 3 dimensional printing, biocompatible materials, and tissue engineering is discussed.PMID:38575278 | DOI:10.1016/j.fsc.2023.11.001 (Source: The Surgical Clinics of North America)
Source: The Surgical Clinics of North America - April 4, 2024 Category: Surgery Authors: Heather K Schopper Shekhar K Gadkaree Jessyka G Lighthall Source Type: research

Decision Making in Nasal Reconstruction: When to Use the Forehead Flap?
Facial Plast Surg Clin North Am. 2024 May;32(2):211-219. doi: 10.1016/j.fsc.2024.01.002. Epub 2024 Feb 12.ABSTRACTIn this review, the paramedian forehead flap indications and uses are reviewed, specifically examining clinical situations where patient selection is important. In these settings, a preoperative discussion with a patient regarding surgical expectations and goals in the setting of their defect is paramount. The authors review the literature regarding the psychosocial aspects of major nasal reconstruction and review preoperative discussion points that are key to a well-informed patient and improved patient satisf...
Source: The Surgical Clinics of North America - April 4, 2024 Category: Surgery Authors: Virginia E Drake Jeffrey S Moyer Source Type: research

Nasal Reconstruction of Large Defects Without a Forehead Flap
Facial Plast Surg Clin North Am. 2024 May;32(2):221-227. doi: 10.1016/j.fsc.2024.01.008. Epub 2024 Mar 6.ABSTRACTDefects over 2.0 to 2.5 cm may often require repair with a multistaged forehead flap. However, in some such defects, other options may be available. In this article, the author will review some of these options.PMID:38575280 | DOI:10.1016/j.fsc.2024.01.008 (Source: The Surgical Clinics of North America)
Source: The Surgical Clinics of North America - April 4, 2024 Category: Surgery Authors: John L Frodel Source Type: research

Nasal Lining Reconstruction with Loco-regional Flaps
Facial Plast Surg Clin North Am. 2024 May;32(2):229-237. doi: 10.1016/j.fsc.2024.01.003. Epub 2024 Feb 12.ABSTRACTThe reliability of local intranasal flaps speaks to the robust vascularity of the nose, which these flaps are based on. The goals for lining replacement, as in any other area of head and neck reconstruction, is to use tissue that best matches the qualities of what is being replaced. The goal of this review is to describe the extent to which local tissues can be used and when to consider regional flaps when the extent of a local flap will not provide enough coverage.PMID:38575281 | DOI:10.1016/j.fsc.2024.01.003 ...
Source: The Surgical Clinics of North America - April 4, 2024 Category: Surgery Authors: Alexander E Graf Lee Kaplowitz Sydney C Butts Source Type: research

Nasal Lining Reconstruction with Prelaminated Forehead Flap
This article reviews the current background, techniques, and clinical considerations in the use of the prelaminated forehead flap for nasal lining reconstruction in partial to total nasal defects.PMID:38575282 | DOI:10.1016/j.fsc.2024.02.001 (Source: The Surgical Clinics of North America)
Source: The Surgical Clinics of North America - April 4, 2024 Category: Surgery Authors: Khashayar Arianpour Patrick J Byrne Source Type: research