Reconstruction of total nasal defects remains one of the most difficult problems in
plastic surgery as the nose combines aesthetics and function. Standard techniques
using either forehead or nasolabial flaps do not have a place in the case of extensive
scarring on the face or areas with high risk of cancer recurrence on the face. In
these cases, microsurgical free tissue transfer for the soft tissue reconstruction
in combination with bone grafts or implants for the nasal skeleton are ideal. We report
the use of prelaminated radial forearm flap with porous polyethylene implants for
total nasal reconstruction.
Nose reconstruction - head and neck reconstruction - porous polyethylene implants