Nasal Valve Considerations in Mohs Reconstruction

Abstract

Airway obstruction is a possible sequela following reconstruction of the nose after Mohs excision of skin cancers. While the principles and goals of tissue replacement after Mohs micrographic surgery are well-established, less attention has been paid to the evaluation of the nasal airway after reconstruction. Reconstructive planning begins with understanding the risk factors associated with the development of nasal valve compromise. Several approaches to prevent and correct nasal valve narrowing will be reviewed as part of a unified reconstructive plan for patients after skin cancer excision in high risk areas.

Keywords: Alar subunit; Cartilage graft; Mohs reconstruction; Nasal lining; Nasal valve insufficiency; Secondary intention healing.