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Facial Plast Surg 2013; 29(05): 411-416
DOI: 10.1055/s-0033-1353382
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Prelamination to Reconstruct Internal Nasal Lining

Holger Gassner
1   Department of ENT, University of Regensburg, Regensburg, Germany
,
Haneen Sadick
2   Department of ENT, University of Mannheim, Mannheim, Germany
,
Frank Haubner
1   Department of ENT, University of Regensburg, Regensburg, Germany
,
Verena Artinger
1   Department of ENT, University of Regensburg, Regensburg, Germany
,
Thomas Kuehnel
1   Department of ENT, University of Regensburg, Regensburg, Germany
› Author Affiliations
Further Information

Publication History

Publication Date:
13 September 2013 (online)

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Abstract

The reconstruction of internal lining in nasal reconstruction is critical to the final result. Most established techniques carry important drawbacks, which include limited available lining surface area, compromise of nasal physiologic function, or donor site morbidity. In this report, we demonstrate a technique that is reliable, technically facile, and allows for the reconstruction of large surface areas: the creation of a bilaminated forehead flap by in situ split-thickness skin grafting. The use of the bilaminated forehead flap in subsequent reconstructive steps allows for dependable reconstruction. All relevant technical steps are illustrated in detail.

Keywords

forehead flap - total nasal reconstruction - internal nasal lining
 

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