[Repair of nasal lining in nasal reconstruction].
OBJECTIVE
To present a variety of techniques for providing nasal lining and discuss the application of these methods to specific nasal defects.


METHODS
Regard of the nasal defect's location, size, or depth of involvement, the approaches were used with turnover nasal skin or scar flaps (n=17), the buccal mucosal flap (n=1), the nasolabial flaps (n=5), prefabricated flaps (n=1) for lining. A formal nasal reconstruction was then carried out with use of rib cartilage grafts for support and a forehead flap for cover.


RESULTS
Necrosis of forehead flaps and lining tissues did not occur. 24 Cases have been followed for a 6-34 months period. Except some turnover scar flaps obstructed the airway and needed aggressive secondary surgical thinning, the other lining flaps remained stable from adequate restoration of form and function.


CONCLUSIONS
It is important to evaluate the exact sizes, volumes and layers missing of the nasal defects before rebuilding the lining defect. Choosing the adequate operation can provide good aesthetic and functional results. The prefabricated flap is good to be used to reconstruct nasal lining in complicated cases.
Li
Yu-Ping
YP
Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Jiaotong University, Shanghai 200011, China.
Jiang
Hao
H
Gu
Bin
B
Shen
Guo-xiong
GX
Li
Qing-feng
QF
D000293:Adolescent; D000328:Adult; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009666:Nose / Q000601:surgery; D012225:Rhinoplasty / Q000379:methods*; D016038:Skin Transplantation; D013524:Surgical Flaps; D055815:Young Adult