A thorough understanding of nasal anatomy is essential to successful nasal reconstruction. Addressing deficiencies of the external soft-tissue envelope, nasal framework, and internal mucosal lining is an important part of achieving an optimal aesthetic and functional outcome. The nose is a highly contoured pyramidal structure situated centrally on the face. It is composed of skin, mucosa, bone,...

abstract facial defects not only impact on the function and quality of life but also affect the psychological well-being and social behavior of patients. a nasal prosthesis can re-establish the esthetics and anatomical contour in patients with mid-facial defects, often more effectively than surgical reconstruction. for successful results, many factors such as retention, texture, color match and...

We devised a new surgical alternative to the conventional nasoseptal flap, pedicled posterior septal–nasal floor flap that we named Kegon flap. evaluated effectiveness of this for skull base reconstruction in patients with high-flow cerebrospinal fluid (CSF) leakage after sellar/parasellar tumor resection. The novel rescue was designed preserve blood flow and mucosa anterior nasal septum avoid ...

BACKGROUND Acquired nasal stenosis poses a reconstructive challenge for the facial plastic surgeon. Many surgical options are available, ranging from primary closure to skin grafts to free flap reconstruction for complex defects. The free auricular composite graft is a single-stage procedure that can be used to repair nasal vestibular stenosis causing nasal obstruction. CASE REPORT We present...

AIM OF THE STUDY Presents our experience in reconstruction of postsurgical defects with use of temporal muscle flap. MATERIAL AND METHODS In the years 1996-2010 we treated 10 patients with malignant neoplasms of maxillo-facial region. Following tumor removal the fascia-muscle flaps of temporal muscle were used for reconstruction. Temporal muscle flaps were applied in 5 cases for reconstructin...

Total or near-total rhinectomy during tumor ablative surgery creates a large postsurgical defect. Surgical or prosthetic reconstruction may be considered. Surgical reconstruction of such a defect depends on support of the reconstructive tissues to prevent collapse. Without support, the esthetic results and airway patency are compromised. The purpose of this clinical report is to present the use...

MATERIALS AND METHODS: All patients undergoing reconstruction following primary BCC excision of the nasal alae were recruited through a single institution. Patient demographics, details of resection and reconstruction were recorded. Positive margins were scored using a quadrant-based directionality system. Defect size was classified as large or small stratified by median defect area. Fisher’s e...

MATERIALS AND METHODS: All patients undergoing reconstruction following primary BCC excision of the nasal alae were recruited through a single institution. Patient demographics, details of resection and reconstruction were recorded. Positive margins were scored using a quadrant-based directionality system. Defect size was classified as large or small stratified by median defect area. Fisher’s e...

We used a free tarsal-conjunctival grate from the upper eyelid and a nasal-based pedicle skin-muscle flap for reconstruction of the medial aspect of the lower eyelid. This had the advantage of confining the reconstruction to the local area and eliminated the need for a temporal flap or an eyelid sharing procedure that necessitates occluding the fissure for several weeks.

Rhinoplasty is a demanding task, especially when augmentation of the nasal contour is required. Autologous cartilage grafts are challenging. Contour and alignment of the graft are difficult goals. It is presented a case of a successfully nasal dorsum augmentation in a secondary rhinoplasty with the Turkish Delight technique and a brief review of literature. A 33-years-old female, with history o...