Abstract:In 1985, Burget and Menick's landmark article on the nasal subunit principle popularized the technique of reconstructing the specific topographic subunits that they identified as the dorsum, tip, and columella and the paired alae, sidewalls, and soft triangles. In patients with more than 50 percent of subunit loss, Burget and Menick proposed removing the remaining portion of the subunit and reconstructing the entire subunit with a skin graft or flap. They further supported the placement of incisions for local … Show more
Although objective functional and aesthetic outcome following nasal reconstruction sometimes shows impairment compared with the normal situation, it gives high subjective patient satisfaction with function and aesthetics.
Although objective functional and aesthetic outcome following nasal reconstruction sometimes shows impairment compared with the normal situation, it gives high subjective patient satisfaction with function and aesthetics.
“…In small non-penetrating defects, free grafts as well as local flaps can be used for defect coverage depending on the subunits of the nose to be reconstructed. 4,5,8,23,24 If there are subtotal or total penetrating nose defects, free non-vascularised graft transfer alone is not successful. 17 In these patients only prosthetic 1,2 or extended surgical treatment is possible to reconstruct the deficient part of the face.…”
Section: Discussionmentioning
confidence: 97%
“…Clinical follow-up was performed 2 weeks, 6 weeks, 3,6,9,12,15,18,21,24 and 36 months postoperatively. Alongside an examination for tumour relapse, the patients were checked for the functional and aesthetic outcome.…”
“…Another solution is to use one flap to reconstruct portions of multiple subunits, ''patching'' the defects as they exist, but defining boundaries between subunits with underlying cartilage grafts. Although it is desirable to have all scars lie between subunits, this is but one potential factor determining the acceptability of a final result [18]. A reconstruction that has fine scars crossing subunit boundaries but precisely duplicates the desired shape or form of the reconstructed part will look far better than a reconstruction that has scars placed neatly between subunits, but has not accurately reproduced the desired shape.…”
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