I have never been able to satisfy myself that the present methods for the repair of a syphilitic nose in which the lining has been destroyed are the best possible. There are two methods in common use: first, the removal of all scar tissue and the relining of the entire nasal cavity with a Thiersch graft, held in place by a mold, which in turn is attached to a denture previously applied; and second, the use of a full-thickness Wolfe graft. Both methods are uncertain, and as yet I have not seen a satisfactory outcome.
As I see it, the problem is to line the nose abundantly, so that there will be no subsequent contractures, and to support the nose with rib cartilage at a later date. Whatever lining is used, there must be sufficient room between the two layers (that is, lining and covering) for the insertion of a
C. R. STRAATSMA. A METHOD FOR THE REPAIR OF A SYPHILITIC NOSE. Arch Otolaryngol. 1932;15(6):906–909. doi:10.1001/archotol.1932.03570030928008