Reconstructive Nasal Surgery

An approach to rebuilding the integrity of the nose after tissue loss and structural defects.

Reconstructive nasal surgery is surgery aimed at rebuilding the structure and integrity of a nose that has been damaged by trauma, a previous operation or disease.

What is reconstruction?

Reconstruction aims to repair both the shape and the function of the nose by placing new tissue in place of nasal tissue that has been lost or damaged. The framework of the nose, its inner lining and its outer cover are assessed together.

When is it needed?

Trauma, tissue loss in previous operations, infection, loss of the columella (the tissue that connects the nasal tip to the septum), vestibular stenosis (narrowing at the entrance of the nose) and congenital or acquired structural defects may be addressed in this scope.

Planning

The amount of tissue lost and the condition of the surrounding tissues form the basis of the plan. Cartilage grafts (septum, ear or rib) and, if needed, local flaps may be used. More than one stage may be required.

A detailed history of previous operations and recovery is taken; imaging and laboratory tests are requested when appropriate.

Expectations and risks

The greater the tissue loss, the longer the planning and recovery process may be. Risks such as graft resorption, infection, wound-healing problems and the need for additional correction are discussed. The goal is to restore function and a natural appearance as far as possible.

When is it considered?

  • Disturbed nasal structure after trauma or a previous operation
  • Loss or collapse of the columella
  • Narrowing at the entrance of the nose
  • Loss of support of the nasal framework

How does the process work?

  1. Detailed history and nasal examination
  2. Identifying the missing tissue and loss of function
  3. Planning graft and flap options
  4. Reconstruction surgery (in stages if necessary)
  5. Long-term follow-up

Frequently asked questions

Is reconstruction completed in a single operation?

If the tissue loss is large, the procedure may be performed in more than one stage. The plan becomes clear after the examination.

Which tissue is used for the graft?

Septal, ear or rib cartilage may be used. The choice depends on the amount required and the available tissues.

Is columella reconstruction within this scope?

Yes. Loss or insufficiency of the columella is addressed within reconstructive nasal surgery.

This page is for general information only. Diagnosis and the treatment plan are determined after a physician’s examination.
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