Where should you begin suturing for lesions of the nose?

Where should you begin suturing for lesions of the nose?

• A. Nasal vestibule
• B. Nasal canals
• C. Septum
• D. Ala

Answer: (B)

Starting in the deepest tissue first helps preserve nasal contour and function. For nose injuries, the most critical layer to reapproximate is the mucosa lining the nasal cavities—the internal passages. By beginning suturing in the nasal canals, you secure the inner surfaces and the underlying cartilage framework, which sets the anchor for the entire repair and helps maintain the nasal valve patency. Once the mucosa and deeper structures are aligned, you can close the deeper layers and, finally, the skin, reducing the risk of external distortion or scar. Beginning on the outside (like the vestibule or ala) can pull tissue and distort the nose, whereas starting inside provides a stable foundation for a cosmetically and functionally sound result.

Starting in the deepest tissue first helps preserve nasal contour and function. For nose injuries, the most critical layer to reapproximate is the mucosa lining the nasal cavities—the internal passages. By beginning suturing in the nasal canals, you secure the inner surfaces and the underlying cartilage framework, which sets the anchor for the entire repair and helps maintain the nasal valve patency. Once the mucosa and deeper structures are aligned, you can close the deeper layers and, finally, the skin, reducing the risk of external distortion or scar. Beginning on the outside (like the vestibule or ala) can pull tissue and distort the nose, whereas starting inside provides a stable foundation for a cosmetically and functionally sound result.