Intranasal lining flaps

This article summarizes various surgical techniques useful in restoring intranasal lining required during reconstruction of full thickness nasal defects. Bipedical vestibular skin advancement flaps may be used for lining defects of the nostril that do not have a vertical height greater than 1.0 cm. Lining defects larger than 1.0 cm in vertical height are best repaired with an ipsilateral septal mucoperichondrial hinge flap. If this by itself is insufficient, a contralateral dorsal septal mucoperichondrial flap may be used to provide additional lining to the nasal sidewall and middle nasal vault. For full-thickness defects of the nasal tip or dorsum, some form of a septal composite chondromucosal pivotal flap may be necessary for lining the nasal passages. Inferior and middle turbinate mucoperiosteal flaps may on occasion supplement any of the septal mucosal flaps.