facial reconstruction is one of the most challenging problems faced by a reconstructive surgeon. we present a case of complex facial reconstruction with a composite trauma to the nose resulting in near total loss of skin and lining along with complete loss of left eyebrow with exposed frontal bone and partial loss of the left eyelid. we combined a temporoparietal fascial flap for reconstruction...

The management of nasal defects following tumour surgery is influenced by multiple factors. These include tumour histology, location, extent of disease and previous treatment regimens employed. These characteristics define the degree of tumour control and therefore the method of reconstruction. The size and location of the defect as well as the availability and condition of adjacent skin are fu...

A 66-year-old man presented with a large squamous cell carcinoma of the right nasal vestibule. He underwent partial rhinectomy and medial maxillectomy followed by staged reconstruction. Reconstruction of a full-thickness nasal defect requires repair of three distinct layers: the skin-soft tissue envelope, subsurface framework and intranasal lining. We report the first use in the UK of an osteoc...

introduction: reconstruction of intraoral soft tissue defects is important in restoring function and esthetic. in large defects, there will be demand for regional pedicle flaps or free flaps. hard palate separates nasal and oral cavities. due to the small surface area between flap and remaining palate after surgical resections, optimal blood supply of the flaps for hard palate reconstructions a...

Figure 1. An old photograph before developing the nasal deformity (left); recent preoperative photograph (right). DESCRIPTION A 55-year-old man comes to the office for consultation regarding a gradually enlarging lesion on his nose, and nasal airway obstruction. This has developed over several years. Physical examination shows enlargement of the nose, pitting and scarring of the skin, and sever...

The face tells the world who we are and materially influences what we can become. The nose is a primary feature. Thin, supple cover and lining are shaped by a middle layer of bone and cartilage support to create its characteristic skin quality, border outline, and three-dimensional contour. The delicacy of its tissues, its central projecting location, and the need to reestablish both a normal a...

Background: Nasal reconstruction is always a challenge for the plastic surgeon. Loss of nasal mass is mainly caused by resection of skin cancers. Among the several available alternatives for covering the skin, skin flaps are the first cosmetic and functional choice. This study has 2 objectives: (1) to report the experiences of the Plastic Surgery Service of São Lucas Hospital of the Pontifical ...

Nasal reconstruction is always challenging for plastic surgeons. Its midfacial localisation and the relationship between convexities and concavities of nasal subunits make impossible to hide any sort of deformity without a proper reconstruction. Nasal tissue defects can be caused by tumor removal, trauma or by any other insult to the nasal pyramid, like cocaine abuse, developing an irreversible...

Rather than treating nasal, maxillary, and soft tissue deformities as separate problems, the author has approached the deformities as a single aesthetic and functional unit, the nasal-maxillary complex. This complex includes the maxilla, nose, and overlying soft tissues, including the upper lip. Successful reconstruction is based on a thorough knowledge of the underlying anatomy and physiology ...