PARTIAL RHINOPLASTY
Restoration of Base of Nose
In this defect there may be a loss of the lobule and both alæ, including the subseptum, or there may be a lateral loss, involving more or less of the base.
There are many types of this deformity, so that to include all would involve considerable space, and at best most of the operations involved would be those utilizing the methods heretofore mentioned.
The earlier operations for the correction of lesions of large extent are founded upon the use of skin flaps, which have been shown to be unsatisfactory because of their consequent cicatrization. Reference is made, however, to several of these to exhibit the disposition of the remaining parts of the old nose.
Later will be considered the methods involving osteo-cartilaginous supports.
Steinhausen Method.—The inferior remains of the old nose are detached from the margins and brought downward; a Hindu flap is fashioned as shown in [Fig. 394], and brought down to form the new nose; the size of the flap is given as being four inches wide and eight inches long.
The distal end of the flap is sutured to the freed flaps obtained from the borders, as shown in [Fig. 395].