Zenga Joseph, Chi John J
Department of Otolaryngology - Head and Neck Surgery, Washington University School of Medicine, Saint Louis, Missouri.
Assistant Professor, Division of Facial Plastic & Reconstructive Surgery, Department of Otolaryngology - Head and Neck Surgery, Washington University School of Medicine, Saint Louis, Missouri.
Facial Plast Surg. 2017 Feb;33(1):67-73. doi: 10.1055/s-0036-1597988. Epub 2017 Feb 22.
Reconstruction of full-thickness nasal defects has been the subject of surgical inquiry and innovation for over 2,000 years. The replacement of the internal nasal lining is a critical feature of complex nasal reconstruction. Successful reconstruction can prevent cicatricial contraction, external distortion, and internal stenosis. An array of reconstructive possibilities has been described, including cutaneous, mucosal, and fascial options. The challenge to the reconstructive surgeon is to select the repair that maximizes internal stability, while maintaining a patent nasal airway, minimizing morbidity, and meeting patient expectations. This article reviews the options available for the reconstruction of the intranasal lining.
