09-11, 12:30–12:45 (Europe/Istanbul), Facial Plastic 1 (ICC - B2 Floor - Çamlıca)
Mohs micrographic surgery provides complete microscopic margin assessment while maximizing preservation of healthy tissue. However, the resulting nasal defects can be particularly challenging because of the nose’s central facial position, complex three-dimensional anatomy, variable skin thickness, limited tissue mobility, and essential role in airway function.
This presentation offers a practical, defect-oriented approach to reconstruction of nasal cutaneous defects following Mohs surgery. Reconstructive planning will be discussed according to defect size, depth, involved aesthetic subunit, skin characteristics, patient-related factors, and the need to preserve nasal contour and function. The reconstructive ladder—including secondary intention healing, primary closure, skin grafting, and local or regional flaps—will be reviewed with emphasis on appropriate patient and technique selection.
The presentation will focus on commonly used options for the nasal dorsum, sidewall, tip, and ala, including the dorsal nasal, bilobed, island pedicle, melolabial, and paramedian forehead flaps. Their indications, vascular basis, advantages, limitations, and potential complications will be illustrated through clinical cases. Full-thickness defects will be addressed using the three-layer principle: restoration of internal lining, structural support, and external skin cover.
By the end of the session, participants should be able to assess nasal defects systematically, select an appropriate reconstructive option based on defect and patient characteristics, recognize the principal advantages and limitations of commonly used flaps, and apply aesthetic subunit and functional principles to optimize outcomes.
To provide otorhinolaryngologists with a concise, practical framework for selecting reconstruction techniques after Mohs surgery. Using anatomic principles and clinical cases, the presentation aims to connect defect size, depth, location, skin characteristics, and patient factors with the reconstructive ladder. Particular emphasis is placed on choosing and designing local or regional flaps while preserving nasal contour, airway function, and aesthetic subunit boundaries.
Dr Saleh Mohebbi, MD, PhD, MRCS, FEBORL is a consultant ENT and head & neck surgeon with over 18 years of academic and clinical experience specializing in head and neck surgery. He holds a faculty position at Iran University of Medical Science, where he leads surgical care and training in head and neck oncology and salivary gland diseases. Dr. Mohebbi has performed more than 1,000 parotid surgeries, spanning benign and malignant pathologies, and is widely recognized for his expertise in complex facial nerve preservation and reconstruction. His clinical work is complemented by ongoing research and numerous publications in the field of ENT/ head and neck cancer surgery. As a passionate educator, he regularly teaches residents, fellows, and peers through lectures, workshops, and surgical courses.
- Establishment Of A New Sialendoscopy Group: IFOS Sialendoscopy Group (ISG)
- Mastering Parotid Surgery: Pearls, Pitfalls, And Lessons From 1000+ Cases
- Endoscopic Skull Base Reconstruction - What Is Evidence Based?
- Anatomic Basis For Facelift Surgery: What Is New And What Is Old?
- Scalp Reshaping
- Sialendoscopy Experiences Around The World
- Midface Lift-When Is It Most Effective As A Sole Procedure
- Future Directions And Recent Innovations
- Modified Composite Plane Facelift With Extended Neck Dissection
- Lateral Wall Collapse
- Lower Blepharoplasty-Tips And Pearls
- Anatomic Basis For Facelift Surgery: What Is New And What Is Old?
- Anatomy For Face And Neck Lift
- Direct Brow Lift; Has It A Role In Rejuvenation Surgery
- Facelift Surgery-Things I Have Learned
- Extreme Revisions
- Scalp Reshaping
- Trans Temporal Extended Deep Plane Face Lift
- Botox And The Science Behind It
- Midface Lift-When Is It Most Effective As A Sole Procedure
- Facelift Techniques
Dr. Burçay Tellioğlu is a faculty member in the Department of Otorhinolaryngology–Head and Neck Surgery at Hacettepe University Faculty of Medicine, Türkiye.
Academic Experience: He received his medical degree from Hacettepe University in 2016 and completed his residency in Otorhinolaryngology–Head and Neck Surgery at the same institution between 2017 and 2023. He currently serves as a Lecturer (Dr.) at Hacettepe University.
Research Interests: Otology, rhinology, laryngology, head and neck surgery, auditory disorders, inner ear malformations, pediatric otorhinolaryngology, and head and neck oncology.
Selected Publications (Last 5 Years):
Günaydın RÖ, Eroğlu E, Tellioğlu B, et al. Evaluation of otorhinolaryngological manifestations in patients with primary ciliary dyskinesia. Int J Pediatr Otorhinolaryngol. 2023.
Tellioğlu B, Sennaroğlu L. Angular Insertion Depth in Inner Ear Malformations, Relationship to Cochlear Size, and Implications for Electrode Selection. Otol Neurotol. 2024.
Atay G, Tellioğlu B, Tellioğlu HT, et al. Evaluation of auditory pathways and comorbid inner ear malformations in pediatric patients with Duane retraction syndrome. Int J Pediatr Otorhinolaryngol. 2024.
Tellioğlu B, Pamuk E, Külekci MÇ, et al. Balancing intervention and complications: management of otitis media with effusion in children with cleft palate. Turk J Pediatr. 2025.
Pamuk E, Tellioğlu B, Eroğlu E, et al. Validation of sentinel lymph node biopsy with completion neck dissection in oral cavity cancer. Acta Otolaryngol. 2025.
Tellioğlu B, Pamuk E, Külekci Ç, et al. Comparative evaluation of ChatGPT-4o and DeepSeek-V3 in head and neck oncology. Acta Otolaryngol. 2025.
Eroğlu E, Tellioğlu B, Gökçınar Y, Özer S. Endoscopic Repair of a Superior Orbital Roof Blow-In Fracture: A Rare Case Report. Laryngoscope. 2026.
Tellioğlu B, Çetin EA, Akan HS, et al. Dose- and Time-Dependent Halofuginone Cytotoxicity in HaCaT Keratinocytes: Implications for Cholesteatoma. J Audiol Otol. 2026.