Reconstructive Options for Cutaneous Defects of the Nose: A Review

Abstract

Background: The face is the most common site affected by skin cancer in the body and of the facial skin it is the nose that bears the brunt of the attack.1,2 Cancer resection results in the loss of a significant amount of tissue requiring replacement with either grafts or flaps in many cases. The expectation in nasal reconstruction, whether minor or major, is the restoration of symmetry, contour, colour match, and an overall pleasing result. Objective: To review the various reconstructive options available for cutaneous defects of the nose following skin cancer resection and to describe outcomes associated with each. Methods: A literature review was performed using PubMed, books, and websites. These were compiled to create a list of available options for the reconstruction of cutaneous defects on anatomical areas of the nose. Results: Nasal reconstructive techniques have been evolving over centuries. With our advanced knowledge regarding blood supply and lessons learned from experiences, we have achieved a standard that offers excellent aesthetic results. The benefits and drawbacks of the common flaps are enunciated to provide a basis for decision making as to the best method to yield the optimum result in the reconstruction of cutaneous defects of the nose following resection of skin cancers.