Reconstructive Surgery after Oncocological Treatment (2024) In R. Nocini, G. Molteni, S.A. Mocella, D. Bertossi (Eds.), The Nasal Setpoplasty (pp.211-225). Piccin, Padova, Italy.

Removal of components of the nasal septum for oncological causes is a frequent intervention. Reconstruction of the septum mainly consists in rebuilding the L-strut, which is the key to the structural support. The L-strut defect might be partial (more frequent) or total. External and internal lining have also to be rebuilt when missing. Lining reconstruction is fundamental to nourish the graft and to avoid post-operative complications. Considerations regarding immediate or delayed procedures have to be evaluated. There are many different types of grafts that can be harvested (septal cartilage and bone, costal cartilage and bone, auricular cartilage, cranial bone, radial bone). The graft used to rebuild the neo-septum has to be chosen according to the extent of the defect and to the surgeon’s experience.