THE RECONSTRUCTIVE procedures in a variety of nasal deformities not limited to cutaneous losses alone but including defects of varying magnitude of the entire nasal wall are grouped together under the term subtotal rhinoplasty. In the repair of these deformities the surgeon has a choice of a variety of procedures. Frequently for repair of a relatively small nasal defect he will resort to a large, distant flap, perhaps of the sickle-flap variety, or to a cervical or brachial skin tube. Nevertheless, his first consideration will always be whether a satisfactory reconstruction can be effected either by a free graft, utilizing the principle of a composite auricular graft, or by a contiguous skin flap. These procedures offer the advantage of great economy of time and effort, and in properly selected cases they will bring about a better result than can be obtained from a distant flap. The anticipated secondary scarring or
LEWIN ML. SUBTOTAL RHINOPLASTY WITH FREE GRAFTS AND CONTIGUOUS FLAPS. AMA Arch Otolaryngol. 1951;54(6):675–682. doi:10.1001/archotol.1951.03750120068009
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