Primary Intranasal Lining Injury Cause, Deformities, and Treatment Plan

  title={Primary Intranasal Lining Injury Cause, Deformities, and Treatment Plan},
  author={Frederick J. Menick and Arthur H. Salibian},
  journal={Plastic and Reconstructive Surgery},
Background: Nasal membranes may be injured by immune disease, infection, trauma, or cocaine. Destruction of the septum, vault and floor lining, external skin, upper lip, and adjacent structures follows. Methods: Lining injuries caused by cocaine, Wegener granulomatosis, primary syphilis, leishmaniasis, septorhinoplasty, septal cancer excision and irradiation, corrosive inhalation, and foreign body and iatrogenic intubation injury were reviewed. The site and degree of injury were correlated with… 

Primary intranasal lining injury: cause, deformities, and treatment plan.

The authors would like to further discuss the specific leishmaniasis-related problem and the curative treatment of the parasite is sometimes a more important issue than cosmetic consideration.

The Bilateral Trans Alar Forehead Flap to Reconstruct the Cocaine Nose: A Case Report

The bilateral trans alar forehead flap is an excellent alternative to microsurgical reconstruction of the nasal lining and columella in the cocaine nose.

Composite Cartilage-osseous-mucosal Nasoseptal Flap for Reconstruction after Near Total Rhinectomy

The first successful application of a composite cartilage-osseous-mucosal NSF for multilayered nasal reconstruction is presented, which may obviate the need for flaps or grafts from extranasal sources, limiting donor site morbidity.

Paranasal Augmentation With Composite Graft Transfer in Overresection of Alar Base and Nostril Contracture.

Combining paranasal augmentation and composite graft transfer increased the cross-sectional area of the external valve and improved nostril contracture and airway obstruction after the overresection of the alar base or nose contracture after multiple rhinoplasty surgeries.

Custom designed radial forearm free flap for reconstruction of nasomaxillary defects: Report of two cases

A new custom design of the radial forearm free flap (RFFF) consisting on a subcutaneous tissue (SCT) component, a skin paddle for the internal nasal vault lining, and a skin paddles for the external nasal skin coating was raised to treat both total thickness nasal defects.

Microvascular Reconstruction of Complex Nasal Defects: Case Reports and Review of the Literature

The RFF is a reliable technique for nasal reconstruction in expert hands and is reported in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement.

Reconstruction of nasal defects: contemporary approaches

This study highlights recent advances in nasal reconstruction and novel modifications of well-accepted traditional techniques.

The Pillars of the Nose-Crura Shortening for Over Projected Nose

A retrospective study of patients who were admitted to ENT University Clinic, University Campus “St. Mother Theresa” Skopje, the Republic of Macedonia in the period 2011-2019 aimed to achieve an ideal landmarks position according to concepts of nasal projection as well as by making preoperative analyses to determine the ideal position for the nasal tip.

Microvascular Reconstruction of the Nose with the Radial Forearm Flap: A 17-Year Experience in 47 Patients.

The radial forearm flap infolding technique is the authors' method of choice for microvascular reconstruction of the nose because it allows placement of a primary dorsal cartilage graft for optimal vascularization, and uses the excess dorsal skin during forehead resurfacing to modify the lining inset and shape the nostrils.



Correction of Cocaine-Related Nasal Defects

Background: Cocaine abuse causes nasal defects ranging from minor septal perforation to loss of dorsal support, potentially leading to collapse of the entire nose. The authors review the defects

Rhinoplasty: Septal Saddle Nose Deformity and Composite Reconstruction

  • R. Daniel
  • Medicine
    Plastic and reconstructive surgery
  • 2007
Composite reconstruction offers a unique solution to saddle nose deformity, as it is a flexible method of restoring structural support and aesthetic contour that allows one to construct a deep structural foundation layer that is then superimposed with an aesthetic layer.

Aggressive destructive midfacial lesion from cocaine abuse.

A 50-year-old woman with a progressively destructive midfacial process that initially appeared as a small, localized palatal defect is described, which caused bilateral deformity of the ala, extensive loss of the palate, maxillary and sinonasal complexes, ethmoids, and ulceration of adjacent tissue.

Midfacial Osteomyelitis in a Chronic Cocaine Abuser: A Case Report

It is believed that this is the first reported case of midfacial osteomyelitis associated with chronic cocaine abuse and it is important for physicians to understand that septal perforation in a cocaine abuser should not be underestimated because it could result in a secondary bone infection.

Reconstruction of the Nose Damaged by Cocaine

Correcting the deformity of the nose is best achieved by supplying new lining; this is possible by turning nasolabial flaps into the nasal vestibule to replace the lost and released lining.

Microvascular Repair of Heminasal, Subtotal, and Total Nasal Defects with a Folded Radial Forearm Flap and a Full-Thickness Forehead Flap

The folded, horizontal radial forearm flap approach is reliable, efficient, and applicable to varied defects and has the ability to correct design errors and complications before pedicle division.

Microsurgical reconstruction of the nasal lining.

Reconstruction of the nasal lining, alone, is a very challenging endeavor that demands careful surgical planning and precise technical execution and the use of free tissue transfer for these defects allows considerable latitude for duplication of the missing complex three-dimensional anatomy and avoids sullying the adjacent facial soft tissues.

Long-Term Follow-Up of Nasomaxillary Epithelial Inlay Skin Graft for the Saddle Nose

The nasomaxillary epithelial inlay skin graft described by H. D. Gillies in 1923 is one of the historical procedures of the twentieth century. Nowadays, this method has been thoroughly abandoned, and

Reconstruction of traumatic short nose with iliac bone graft and nasolabial flaps.

  • K. Harii
  • Medicine
    Plastic and reconstructive surgery
  • 1982
Two nasolabial flaps and an iliac bone graft were used in one-stage reconstruction of a traumatized short nose using two flaps simultaneously transposed as subcutaneous pedicle flap, and this enabled easy mobilization of the flaps.