Nasal spray oil are also available. There is however no trial-verified evidence that they have a measurable effect on symptoms. Decongestant nasal sprays are available over-the-counter in many countries. They work to very quickly open up nasal passages by constricting blood vessels in the lining of the nose. Prolonged use of these types of sprays can damage the delicate mucous membranes in the nose. This causes increased inflammation, an effect known as rhinitis medicamentosa or the rebound effect. Decongestant nasal sprays are advised for short-term use only, preferably 5 to 7 days at maximum. Some doctors advise to use them 3 days
Nasal reconstruction using a paramedian forehead flap forehead flap is usually required if the nasal defect is larger than 1.5 cm, requires replacement of support or lining, or if it is located within the infratip or columella. If the defect is small and superficial it can be resurfaced with a skin graf or it can heal by secondary intention. Limited alar defects can be resurfaced using a nasolabial flap, however, the amount of tissue available from the nasolabial area is limited and the flap is thicker, less vascular, and hair bearing in males. Nasal defects mostly result from excision of (malignant) skin tumours as basal cell carcinoma,