Nasal Obstruction after Mohs Surgery: Prevention and Correction

Abstract

As rates of Mohs micrographic surgery (MMS) have risen over recent decades in the setting of increased incidence of nonmelanoma skin cancer, so too has the need for post-Mohs reconstruction. The nose is one of the most common sites of post-MMS nasal reconstruction and presents unique challenges that often require expertise in facial plastic and reconstructive surgery. In addition to the aesthetic importance of the nose, preserving nasal function and preventing nasal obstruction are paramount to successful nasal reconstruction. This article will provide a brief review of nasal anatomy, with a focus on particular anatomic risk factors for post-MMS reconstruction nasal obstruction, strategies to prevent nasal obstruction, as well as techniques to correct the problem when it arises.

Immediate reconstruction of nasal alar defects after malignant skin tumor excision without mohs surgery

“…Nose skin tumors require the most stages of MMS relative to other anatomical locations [5]. Furthermore, nasal obstruction commonly occurs after MMS [6,7]. The nasal alar region has a unique anatomy that contains a thin skin surface, thin wavelike cartilage, and mucosa.…”