Reconstruction of medium and large nasal defects.

Objective: The aim of this study is to share our experience with nasal reconstruction and give a standardized algorithm for reconstruction. Study Design: Descriptive cross sectional. Setting: Burns Plastic Surgery Center, Peshawar. Period: January 2019 December 2022. Material & Methods: Data was obtained from patient records after approval IREB. Patients multiple co-morbidities small defects (<1.5cm) were excluded study. Defects classified based on anatomic areas radix, dorsum, sidewall, alar lower third defects. Cases tabulated regarding site the reconstructive options generate treatment algorithm. Results: A total 51 cases included in including 30 (58.8%) male patients. Mean age patients 48.12+21.89SD. Skin malignancies most common (n=35, 68.6%). Nasal ala reconstructed (25.5%) followed by dorsum sidewalls. Medium size (41.2%) common. In 64.8% (n=33) cases, forehead flaps used reconstruct (Table-I). 5.9% we observed flap congestion. 19 (37.25%) presented additional soft tissue which needed (Table-II). Reconstructive are as an defect (Figure-1). Conclusion: shared readers detects. We have formulated these that will simplify such cases.