Nasal reconstruction with local flaps: a simple algorithm for management of small defects.
OBJECTIVE
After studying this article, the participant should: 1. Be familiar with subunits of the nose. 2. Understand various flaps used in nasal reconstruction. 3. Be able to choose a flap for the defect depending on its location, size, shape and orientation.


BACKGROUND
Management of small defects in nasal reconstruction can be quite challenging. Location, size, shape, and orientation of the defects are important factors in determining the method used in reconstruction.


METHODS
In this article, the authors retrospectively examined 300 cases where local flaps were used to reconstruct small nasal defects. The authors correlated the characteristics of those defects with the techniques used to reconstruct them.


RESULTS
The authors found that certain flaps were used predominantly in reconstruction of certain defects.


CONCLUSIONS
The authors were able to develop a simple algorithm for management of small nasal defects that may prospectively aid the planning of reconstructive strategy in these cases.
Guo
Lifei
L
Boston, Mass.; and Chicago, Ill. From the Division of Plastic Surgery, Brigham and Women's Hospital, and the Feinberg School of Medicine, Northwestern University.
Pribaz
Jonathan R
JR
Pribaz
Julian J
JJ
D000465:Algorithms; D005260:Female; D006801:Humans; D008297:Male; D009666:Nose / Q000473:pathology / Q000601:surgery*; D009667:Nose Deformities, Acquired / Q000473:pathology / Q000601:surgery*; D012189:Retrospective Studies; D012225:Rhinoplasty / Q000379:methods*; D012720:Severity of Illness Index; D013524:Surgical Flaps