This is an excellent and authoritative review of an often difficult and controversial clinical subject. Because of increased education and earlier diagnosis of skin tumours, surgeons are being presented with an increasing number of defects with limited size and depth. However, achieving good results from reconstruction is often challenging. The authors have put together an excellent article with schematic diagrams and case studies to demonstrate how it can be done. The main theme is the supratip area, dorsum and side walls and the flaps used are local rotation and / or advancement flaps. It is obvious the authors have a wealth of experience. The article discusses the planning, selection and use of local flaps. Various flaps are used and these are described in the reconstruction of these areas in defects that are limited to skin only. The paper contains a number of excellent photographs to enhance the written descriptions. I think that this is an excellent review for nasal tip / lateral walls reconstruction and is worth reading as both a technical review and reminder of these various flaps.
One stage nasal reconstruction with local flaps
Reviewed by Sunil K Bhatia
One stage nasal soft tissue reconstruction with local flaps.
