A case of congenital absence of the nasal columella accompanying a facial hemangioma is presented. The nose is an important aesthetic unit of the face, and its projection is mainly supported by the columella. The etiology of the absent columella is unclear, and the clinical feature is rare. Reconstruction of the columella remains a challenging problem in plastic surgery, and numerous techniques...

Tracheal resection followed by an end-to-end anastomosis has been the method of choice for the treatment of tracheal neoplasms. We hereby report a 40-year-old female patient in whom we performed reconstruction with composite nasal septal cartilage graft following one-staged tracheal resection. Histopathologic diagnosis was well-differentiated adenoid cystic carcinoma. Fiberoptic and biopsy exam...

Craniometaphyseal dysplasia (CMD) is a rare congenital bone dysplasia with abnormal bony overgrowth leading to characteristic facial features and cranial nerve compression. We present a 10-year-old child with bony swelling at the nasal root since birth along with decreased hearing in both ears. She had normal developmental milestones and intelligence. On examination, she had bossing of forehead...

Resection of benign lesions is a common cause of nasal defects in young patients. The conventional bilobed flap (Zitelli’s design) used for reconstruction of defects of the lower third of the nose traditionally utilizes skin from the mid dorsum and the sidewall of the nose.[1] However, the conspicuous scarring and loss of conformity in the cosmetic subunits of the nose might be unacceptable to ...

OBJECTIVES Defects after endoscopic expanded endonasal approaches (EEA) to the skull base, have exposed limitations of traditional reconstructive techniques. The ability to adequately reconstruct these defects has lagged behind the ability to approach/resect lesions at the skull base. The posteriorly pedicled nasoseptal flap is our primary reconstructive option; however, prior surgery or tumors...

BACKGROUND Reconstruction of nasal skin after tumor resection is imperative for full patient rehabilitation; and use of similar skin is necessary to achieve best esthetic and functional results. METHODS This clinical series study represent management of patients with large nasal defects (up to 4x7 cm) using subcutaneous pedicle island paramedian forehead flap, during a period of 2007-2009, 8 ...