gms | German Medical Science

84th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

08.05. - 12.05.2013, Nürnberg

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Strategies of generating internal lining in total nasal reconstruction

Meeting Abstract

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  • corresponding author Verena Artinger - HNO/Universitätsklinikum Regensburg, Regensburg
  • Holger Gassner - Universitätsklinikum Regensburg, Regensburg
  • Jürgen Strutz - Universitätsklinikum Regensburg, Regensburg

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 84. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Nürnberg, 08.-12.05.2013. Düsseldorf: German Medical Science GMS Publishing House; 2013. Doc13hnod612

doi: 10.3205/13hnod612, urn:nbn:de:0183-13hnod6122

Published: April 15, 2013

© 2013 Artinger et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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Total nasal reconstruction presents multiple challenges. Accepted concepts include a staged approach, formation of a skeletal framework with costal cartilage and epithelial cover with a paramedian forehead flap. Reported techniques of generating internal lining seem more variable and include epideral turn-in flaps and a variety of endonasal mucosal flaps. The morbidity associated with endobasal mucosal transfer is generally accepted as it is outweighed by the reconstructive benefits. We present a therapeutic algorithm designed to minimize the use of endonasal mucosal transfer and to maximize endonasal physiologic function in patients undergoing total nasal reconstruction. Techniques are presented in detail and results are demonstrated.

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