Total nasal reconstruction: A review of the past and present, with a peak into the future

Tim J. Phillips

Research output: Contribution to journalReview article

Abstract

Purpose of reviewThe goal of this article is to review the complex topic of total nasal reconstruction and present a wide range of options for completing this difficult surgical procedure.Recent findingsNasal reconstruction has a long history dating back thousands of years. Some historical techniques still exist today, including the paramedian forehead flap. The introduction of free tissue transfer and other pedicled flaps has provided multiple options for the reconstructive surgeon. The future of nasal reconstruction will include facial transplantation and likely bioengineered tissues.SummaryThe principles of nasal reconstruction have gone unchanged for decades; however, the techniques to meet the principles have. The current reconstructive methods of grafts, free flaps, and pedicled flaps used to replace lining, structure, and skin will likely be used for several years to come. However, the use of facial transplantation has proved effective and bioengineered tissues present an exciting future for organ replacement.

Original languageEnglish (US)
Pages (from-to)420-425
Number of pages6
JournalCurrent Opinion in Otolaryngology and Head and Neck Surgery
Volume27
Issue number5
DOIs
StatePublished - Oct 1 2019
Externally publishedYes

Keywords

  • free flap
  • pedicled flap
  • reconstruction
  • total rhinectomy

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

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