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Understanding Modern Regional Unit Nasal Reconstruction

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Complex nasal defects rarely fit a ready-made recipe. This lecture presents a structured way to analyze what is missing, define normal anatomy, and turn reconstruction into a sequence of manageable steps. The discussion moves from facial units and normative measurements to paper templates, cartilage support, lining, coverage, and staged reconstruction.

Through challenging cases—including traumatic, oncologic, irradiated, and multiply operated noses—the speaker demonstrates why planning each stage matters and how intermediate procedures can become opportunities to correct problems before the final result. Particular attention is given to forehead flaps, folded lining, cartilage graft design, subunit reconstruction, and the practical use of templates to avoid intraoperative guesswork.

The Q&A adds further perspective on common mistakes in young surgeons, the role of prostheses, nasolabial flaps, tissue quality, vascularity, and the importance of building 'lifeboats' into a reconstruction.
PRAS-06

Course

Nasal Surgery: Functional Assessment, Subunits, and Complex Reconstruction

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