Total and near-total nasal reconstruction is uncommon in trauma but may still be required. Noses can be avulsed or bitten off, or tissue may be lost following complications of repair. Techniques used in nasal reconstruction following cancer resection are commonly used. These utilise the same tools as with all posttraumatic defects, with an emphasis on functional reconstruction of all missing tissues. The workhorse for large nasal defects remains the paramedian forehead flap.
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