๐ ็ธฝ็ฎ้ ๏ฝ ๐ ่ฑๆๅๆ๏ผๆฌ็ฏ๏ผ ๏ฝ ๐ ๅฎๆด็ฟป่ญฏ ๏ฝ โญ ็ฒพ่ฏ็ญ่จ
Nose
Nose
Linear repairs on the nose are possible even for fairly large defects, particularly those located in the midline.1 This approach is predicated on a high length-to-width ratio
closure in order to avoid the risk of dog-ear formation at the apices, which is particularly noticeable on the nose. The depth of the excision and suture placement should be significant, as superficially placed sutures and superficial undermining on the nose increase the risk of dehiscence. Buried sutures should ideally include nasalis muscle in order to provide optimal cosmesis.
Patients should be warned that all nasal repairs should be conceptualized as multistaged, given the sebaceous nature of nasal skin. Postoperative dermabrasion is often useful, and if patients are told preprocedure that this may be needed, they will be more satisfied with the ultimate outcome. For a detailed discussion of nasal repairs, see Chapter 39.