External Nasal Defects Repair

Abstract

Defect of the nasal region can cause both functional and cosmetic defect. Defect at the nasal tip and adjoining sides is repaired with the help of four staged Schmid–Meyer frontotemporal flap is best suited for its high vascularity and robustness. Glabellar rotation is suited for the defect created following excision of basal cell carcinoma on the external nasal dorsum; the procedure is done in single stage. Single-stage forehead island flap on a subcutaneous pedicle is needed in the area between nose and forehead; in this area the thickness of the tissues above the bone is more than further down the nasal dorsum. The superior based nasolabial flap is used to reconstruct the defect of the nasal ala. For total or subtotal nasal defect, multi-staged anterior scalping flap is very useful. Limited defect on nasal dorsum is repaired by full-thickness skin taken from the lower neck or back of ear.