The Subunit Principle in Nasal Reconstruction

  title={The Subunit Principle in Nasal Reconstruction},
  author={Gary C. Burget and Frederick J. Menick},
  journal={Plastic and Reconstructive Surgery},
The nasal surface is made up of several concave and convex surfaces separated from one another by ridges and valleys. Gonzalez-Ulloa has designated the nose an aesthetic unit of the face. These smaller parts (tip, dorsum, sidewalls, alar lobules, and soft triangles) may be called topographic subunits. When a large part of a subunit has been lost, replacing the entire subunit rather than simply patching the defect often gives a superior result. This subunit approach to nasal reconstruction… Expand
Aesthetic Considerations in Nasal Reconstruction and the Role of Modified Nasal Subunits
The purpose of this study was to demonstrate when and how the modification of the nasal subunit principle is used to achieve coverage of nasal skin defects. Expand
Usefulness of the subunit principle in nasal reconstruction*
  • F. B. Cerci
  • Chemistry, Medicine
  • Anais brasileiros de dermatologia
  • 2017
The subunit principle in nasal reconstruction proposed the concept of reconstructing the specific topographic subunits that were identified as dorsum, tip, columella, the paired alae, sidewalls, andExpand
Nasal Reconstruction: Defects that Cross Anatomical Subunits.
Approaches the authors follow for various defects along with technical pearls for performing these reconstructions are discussed. Expand
Nasal reconstruction.
  • F. Menick
  • Medicine
  • Plastic and reconstructive surgery
  • 2010
A preliminary operation may be required to ensure clear margins, recreate the defect, reestablish a stable nasal platform on which to build the nose, and prepare tissues for transfer. Expand
Aesthetic reconstruction of the confluence of the nose, lip, and cheek
This article uses one prototype case to show how flaps and grafts can be turned into tissue forms that when truly normal look like the features of the face. Expand
Principles of subunit reconstruction of the forehead
The face can be divided into topographic areas, each with its own characteristic skin quality, two-dimensional outline, and three-dimensional contour—the forehead, upper and lower eyelids, cheek,Expand
Nasal Reconstruction Based on Aesthetic Subunits in Orientals
The authors devised aesthetic subunits suitable for Orientals, and they used these units to reconstruct various parts of the nose, and the results suggest that these units can also be used in some white patients. Expand
The two-stage nasolabial flap for subunit reconstruction of the ala
The nose can be divided into subunits: the dorsum, tip, columella, paired alae, sidewalls, and soft triangles, which helps create an alar shape and braces the reconstruction against gravity and wound contraction. Expand
The apical triangle: an overlooked aesthetic facial subunit.
  • Ryan Reddy, S. Mobley
  • Medicine
  • Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]
  • 2011
The overall result of the reconstruction could be considered reasonably successful, but the patient’s face still did not appear completely symmetrical, particularly when attention was directed to the left apical triangle region. Expand
Modification of the subunit principle for reconstruction of nasal tip and dorsum defects.
Patients undergoing reconstruction of the nasal tip and/or dorsum should be evaluated for discrepancies in tissue type between the recipient nasal site and forehead donor site and if the tissues are noted to be significantly disparate, the reconstructive surgeon may consider replacing both subunits with a single forehead flap. Expand