LAUSR

MATERIALS AND METHODS 38 full thickness nasal defects were repaired between 2001 and 2018. Records review identified the type and frequency of complications and their management. Patients were surveyed to determine their overall satisfaction, quality of life, restoration to a normal appearance, donor scars, the value of a late revision, airway function and need for nasal stents. Postoperative results were classified by independent evaluators as very good, good, fair, and poor. RESULTS Repair was completed in 35 of 38 patients. 53% of patients returned an anonymous survey. 85% were very satisfied. 75% declared excellent, very good or good breathing. 75% used stents never/rarely. 95% looked normal. 95% would recommend to other patients. An independent review classified the aesthetic results as 94% very good to good, 3% fair and 3% poor. CONCLUSIONS A folded Radial Forearm Lining Flap, a 3 Stage Full Thickness Forehead Flap for cov er and a Late Revision can repair difficult nasal defects, as shown in a large series of patients with long term follow-up.