Nasalreconstructiongrandrounds043009

Nasalreconstructiongrandrounds043009 Ppt The document discusses various techniques for reconstructing nasal defects, including: 1) local flaps like bilobed flaps are well suited for small defects, while larger defects require recruitment of distant tissue like paramedian forehead or cheek flaps. 2) adequate reconstruction of skin cover, structural support, and intranasal lining layers. 1. principles of nasal reconstruction after mohs micrographic surgery francisco g. pernas, md vicente resto, md, phd university of texas medical branch department of otolaryngology grand rounds presentation, march 31, 2o10.

Nasalreconstructiongrandrounds043009 Ppt Wayne p. foster, md, facs. specialty: facial plastic & reconstructive surgery. otolaryngology, head & neck surgery. board certification: american board of facial plastic & reconstructive surgery. american board of otolaryngology. area of expertise: rhinology (nose and sinus), facial plastic surgery, skin cancer and reconstruction. Conclusion. the nasal ala is functionally important for the nasal airway and is aesthetically important for nasal symmetry. defects of the nasal ala are challenging to reconstruct, and each anatomic layer must be addressed during repair. our algorithm outlines options for reconstruction based on the depth of the defect and size of the defect. The nasal lining consists of a thin layer of vascular mucosa. it tightly adheres to the deep surface of the nasal bones and cartilages. this dense adherence limits the mobility of the mucosa, and consequently only the smallest mucosal defects (< 5 mm) can be closed primarily. the skin is the third and final layer of the nose. There are many well established principles and surgical techniques for nasal reconstruction. the purpose of this paper is to describe contemporary reconstruction of nasal defects. the unique anatomic features of the nose make this a challenging task. while obtaining an optimal aesthetic result is always the goal of reconstruction, maintenance.

Nasalreconstructiongrandrounds043009 Ppt The nasal lining consists of a thin layer of vascular mucosa. it tightly adheres to the deep surface of the nasal bones and cartilages. this dense adherence limits the mobility of the mucosa, and consequently only the smallest mucosal defects (< 5 mm) can be closed primarily. the skin is the third and final layer of the nose. There are many well established principles and surgical techniques for nasal reconstruction. the purpose of this paper is to describe contemporary reconstruction of nasal defects. the unique anatomic features of the nose make this a challenging task. while obtaining an optimal aesthetic result is always the goal of reconstruction, maintenance. In fact, reconstruction of the nasal subunit tends to require the most additional reconstructive operations because of the need for multistaged procedures and also has the most complications because of the inherent complexity of nasal defects. 2. nasal defects can occur following tumor resection, trauma, and burns. S of the two and three stage vertical paramedian forehead flap. 4. appreciate the uses and design of nasal support grafts. 5. differentiate old and new lining methods and their advantages and disadvantages and develop an approach to the revision of a nasal reconstruction. summary: the face tells the world who we are and materially influences what we can become. the nose is a primary feature.