“A Novel Approach for Total Nasal Reconstruction”

Publication date: Available online 22 November 2018

Source: Journal of Oral and Maxillofacial Surgery

Author(s): Shahrouz Zarrabi, Mark Welch, John Neary, Beomjune Kim

Summary

A 61-year-old woman who lost her nose, upper lip, and most of her midface bony structures due to cancer 20 years ago underwent advanced surgical reconstruction. This patient had previously undergone multiple reconstructive surgeries that failed to satisfactorily restore her nose. Therefore, a multi-stage reconstruction was performed to recreate a complete nose and increase her upper lip length. Due to a lack of sufficient facial bone and nasal supporting structures, the reconstruction was extremely challenging. Virtual surgical planning technology was used to create a customized titanium nasal plate. The patient's nose was successfully reconstructed using the nasal plate, costal cartilage, and a paramedian forehead flap. The patient is highly satisfied with the cosmetic and functional results and has had significant psychosocial improvement since the reconstruction.

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