title: The total nasal defect and reconstruction.
abstract: The structures of the nose are arguably the most complex within the face to reconstitute when absent. Total nasal reconstruction has evolved to encompass advanced surgical techniques in an effort to achieve increasingly satisfactory cosmetic results while restoring nasal function that mimics the function of a patient's natural nose. In this article, the history of total nasal defects and their reconstruction, relevant nasal anatomy, etiologies of the defect, and the surgical approaches to reconstructing each of the three-layered structure of the nose (ie, nasal skin, cartilage/bone, and lining mucosa) are explored.
authors.affiliation: Department of Otolaryngology-Head & Neck Surgery, Oregon Health & Science University, Physicians Pavilion 2nd floor, 3181 SW Sam Jackson Park Rd PV-01, Portland, OR 97239-3098, USA.
authors.forename: Steven B
authors.initials: SB
authors.lastname: Cannady
authors.forename: Ted A
authors.initials: TA
authors.lastname: Cook
authors.forename: Mark K
authors.initials: MK
authors.lastname: Wax
mesh_terms: D004954:Esthetics; D005060:Europe; D049669:History, 16th Century; D049670:History, 17th Century; D049672:History, 19th Century; D049673:History, 20th Century; D006801:Humans; D009666:Nose / Q000002:abnormalities* / Q000033:anatomy & histology / Q000601:surgery*; D012225:Rhinoplasty / Q000266:history* / Q000379:methods*