Partial to Total Nasal Reconstruction, An Issue of Facial Plastic Surgery Clinics of North America

1st Edition, Volume 32-2 - April 8, 2024
Editor: Samuel L. Oyer
Language: English
Hardback ISBN:
9 7 8 - 0 - 4 4 3 - 1 2 8 8 5 - 1
eBook ISBN:
9 7 8 - 0 - 4 4 3 - 1 2 8 8 6 - 8

In this issue of Facial Plastic Surgery Clinics, guest editor Dr. Samuel L. Oyer brings his considerable expertise to the topic of Partial to Total Nasal Reconstru… Read more

Partial to Total Nasal Reconstruction, An Issue of Facial Plastic Surgery Clinics of North America

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In this issue of Facial Plastic Surgery Clinics, guest editor Dr. Samuel L. Oyer brings his considerable expertise to the topic of Partial to Total Nasal Reconstruction. Nasal reconstruction of small defects is challenging, and the challenge compounds for full-thickness or near-total nasal defects. These complex procedures tax the ability of the most seasoned and skilled surgeons. This issue compiles the experience of experts in nasal reconstruction who share their techniques and pearls to optimize outcomes for patients with these challenging nasal defects.

Cover image
Title page
Table of Contents
Copyright
Contributors
Forthcoming Issues
Foreword
Preface
Implications of Malignancy, Radiation, and Timing of Major Nasal Reconstruction
Key points
Background
Resection modalities
Skin cancers
Radiation
Patient outcomes
Delayed reconstruction
Summary
Clinics care points
Approach to Major Nasal Reconstruction: Benefits of Staged Surgery and Use of Technology
Key points
Introduction
Discussion
Summary
Clinics care points
Decision Making in Nasal Reconstruction: When to Use the Forehead Flap?
Key points
Introduction
Discussion
Summary
Clinics care points
Nasal Reconstruction of Large Defects Without a Forehead Flap
Key points
Introduction
Nasal defect analysis
Non-forehead flaps for nasal reconstruction
Summary
Clinics care points
Nasal Lining Reconstruction with Loco-regional Flaps
Key points
Introduction
Anatomy
Internal nasal lining flaps
Hinge-flap (turn-in)
Paramedian forehead flap
Pericranial flap
Melolabial flap
Facial artery based mucosal and musculomucosal flap
Discussion
Summary
Clinics care points
Supplementary data
Nasal Lining Reconstruction with Prelaminated Forehead Flap
Key points
Introduction
Background
Prelamination
Preoperative assessment
Surgical technique
Discussion
Summary
Clinics care points
Supplementary data
Total Nasal Reconstruction: Advances in Free Tissue Transfer for Internal Lining and Structural Support
Key points
History of nasal reconstruction
Total nasal reconstruction: basic tenets of the surgical plan
Ideal structural support
Ideal internal nasal lining
Ideal skin cover
Free tissue transfer as lining for total nasal reconstruction
Types of free flaps for total internal lining reconstruction
Medial femoral condyle corticoperiosteal free flap
Summary
Clinics care points
Structural Support for Large to Total Nasal Reconstruction
Key points
Introduction: nasal physiology and framework
Discussion
Summary
Clinics care points
Nuances in Forehead Flap Reconstruction for Large Nasal Defects
Key points
Background/introduction
Defect preparation and template creation
Flap design: midline versus paramedian
Plane of elevation
Flap inset
Donor site closure
Three-staged forehead flap
Pedicle division
Summary
Clinics care points
Revision Nasal Reconstruction After Previous Forehead Flap
Key points
Background/Introduction
Predicting revisions
Minor revisions
Major revisions
Preoperative counseling for a major revision
Surgical planning
Inner lining
Structural support
The revision forehead flap
Case presentations
Summary
Clinics care points
Reconstruction of Large Composite Defects Extending Beyond the Nose
Key points
Introduction
Defining involved facial units
Importance of wound depth
Approach to the defect
Extensive tissue loss
Representative case
Summary
Clinics care points
Prevention and Management of Complications in Nasal Reconstruction
Key points
Introduction
Discussion
Summary
Clinics care points
Management of Traumatic Nasal Avulsion Injuries
Key points
Introduction
General approach
Partial nasal avulsion injuries
Complete nasal avulsion injuries
Summary
Clinics care points
Prosthetic Nasal Reconstruction
Key points
Introduction
History of facial prostheses
Surgical considerations for tumor-related defects of the nasal complex
Methods of prosthesis retention
Craniofacial implants
Prosthetic fabrication, materials, and techniques
Complications
Clinics care points