Nasal Reconstruction

Chapter 29 of Volume 2, Head, Neck & Craniofacial. Revision notes for the FRCS (Plast).

What this chapter covers

• Nasal Reconstruction After Skin Cancer
• Section 1Assessing the Defect
• Section 2Oncological Clearance First
• Section 3Subunits and the 50% Rule
• Section 4The Three Layers
• Section 5Cover: Choosing the Flap
• Section 6The Paramedian Forehead Flap
• Section 7Lining
• Section 8Support
• Section 9The Composite Graft (a Different Defect)
• Section 10Function and the Nasal Valves
• Section 11Consent and Expectations
• The Reserve Answers
• Evidence Summary
• Total and Subtotal Nasal Reconstruction
• How This Scores — And Why Length Is the Enemy
• Section 1Defining the Defect
• Section 2The First Decision: Prosthesis or Reconstruction
• Section 3The Principles
• Section 4Lining
• Section 5Support: the Framework
• Section 6Cover
• Section 7Staging
• Section 8Prelamination and Prefabrication
• Section 9Patient Selection, Consent and Psychology
• Section 10Complications and Salvage
• Rapid-Fire
• What Not to Say
• The Sentences That Carry This Viva