Open Access
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.



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Artikel online veröffentlicht:
30. Dezember 2020

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