Single Stage Nasal Reconstruction in a Near Total Nasal Defect

• Published in: Indian journal of plastic surgery Vol. 53; no. 3; pp. 431 - 434
• Main Authors: Brajesh, Vimalendu, Aggarwal, Aditya, Singh, Sukhdeep, Vora, Vishal, Rana, Kanika
• Format: Journal Article
• Language: English
• Published: A-12, 2nd Floor, Sector 2, Noida-201301 UP, India Thieme Medical and Scientific Publishers Pvt. Ltd 01.12.2020; Thieme Medical Publishers, Inc
• Subjects: Case Report; near total nasal defect; radial artery forearm flap; single stage nasal reconstruction; near total nasal defect; Radial artery forearm flap; single stage nasal reconstruction
• ISSN: 0970-0358; 1998-376X
• DOI: 10.1055/s-0040-1721858

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.