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CC BY-NC-ND 4.0 · Indian J Plast Surg 2020; 53(03): 431-434
DOI: 10.1055/s-0040-1721858
Case Report

Single Stage Nasal Reconstruction in a Near Total Nasal Defect

Vimalendu Brajesh
1   Department of Plastic, Aesthetic and Reconstructive Surgery Medanta the Medicity, Gurgaon, Haryana, India
,
Aditya Aggarwal
1   Department of Plastic, Aesthetic and Reconstructive Surgery Medanta the Medicity, Gurgaon, Haryana, India
,
Sukhdeep Singh
1   Department of Plastic, Aesthetic and Reconstructive Surgery Medanta the Medicity, Gurgaon, Haryana, India
,
Vishal Vora
1   Department of Plastic, Aesthetic and Reconstructive Surgery Medanta the Medicity, Gurgaon, Haryana, India
,
Kanika Rana
2   Department of Head and Neck Surgery Medanta the Medicity, Gurgaon, Haryana, India
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Abstract

Reconstruction of nasal defect is difficult and challenging. A full-thickness defect of nose requires reconstruction of thin inner lining, middle skeletal (bony/cartilaginous) support, and outer skin layer cover. Large full-thickness defects of nose require complex multistage reconstruction to achieve good functional and aesthetic result. We present here a case of 12-year-old boy, a known case of xeroderma pigmentosa, who underwent wide local excision for squamous cell carcinoma of the nose, leaving a near total defect of the external nose. The reconstruction was done with a suprafascial, thin radial artery forearm free-flap for the external cover as well as the inner lining along with the septal cartilage graft for skeletal support in a single stage.

Keywords

near total nasal defect - Radial artery forearm flap - single stage nasal reconstruction


Publication History

Article published online:
30 December 2020

© 2020. Association of Plastic Surgeons of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 Burget GC, Walton RL. Optimal use of microvascular free flaps, cartilage grafts, and a paramedian forehead flap for aesthetic reconstruction of the nose and adjacent facial units. Plast Reconstr Surg 2007; 120 (05) 1171-1207, discussion 1208–1216
    CrossrefPubMedGoogle Scholar
  • 2 Naik SM, Shenoy AM, Nanjundappa A. et al. Cutaneous malignancies in xeroderma pigmentosum: earlier management improves survival. Indian J Otolaryngol Head Neck Surg 2013; 65 (02) 162-167
    CrossrefPubMedGoogle Scholar
  • 3 Cannady SB, Cook TA, Wax MK. The total nasal defect and reconstruction. Facial Plast Surg Clin North Am 2009; 17 (02) 189-201
    CrossrefPubMedGoogle Scholar
  • 4 Menick FJ. Practical details of nasal reconstruction. Plast Reconstr Surg 2013; 131 (04) 613e-630e
    CrossrefPubMedGoogle Scholar
  • 5 Mutaf M, Ustuner ET, Celebioglu S, Kocer U, Sensoz O. Tissue expansion-assisted prefabrication of the forehead flap for nasal reconstruction. Ann Plast Surg 1995; 34 (05) 478-484, discussion 485–487
    CrossrefPubMedGoogle Scholar
  • 6 Ahcan U, Didanovic V, Porcnik A. A unique method for total nasal defect reconstruction - prefabricated innervated osteocutaneous radial forearm free flap. Case Reports Plast Surg Hand Surg 2019; 6 (01) 11-19
    CrossrefPubMedGoogle Scholar
  • 7 Baker SR, Johnson TM, Nelson BR. The importance of maintaining the alar-facial sulcus in nasal reconstruction. Arch Otolaryngol Head Neck Surg 1995; 121 (06) 617-622
    CrossrefPubMedGoogle Scholar