Nasal endoscopy in total nasal reconstruction

Total nasal reconstruction is a challenging task involving multiple surgical stages. It requires transfer of local and distant tissues to replace three structural layers of the nose: the lining, skeleton, and skin. Besides the paucity of local tissues, creation of the nose is demanding due to functional and aesthetic considerations, limited operative field, and poor visualization inside the created construct. The ability to inspect the newly created nasal cavity is vital in determining the condition of the airways. We present a case of complex total nasal reconstruction, where nasal endoscopy improved control of the reconstructive process and management of exposed hardware.

Level of Evidence: Level V, diagnostic study.