Reconstruction of Subtotal Nasal Defect with Radial Forearm Free Flap and Forehead Flap: A Case Report
Journal of Rhinology
; : 132-137, 2017.
Article
in Ko
| WPRIM
| ID: wpr-123297
Responsible library:
WPRO
ABSTRACT
Reconstructive rhinoplasty is one of the unique areas of rhinoplasty, but its concept and technique have not been widely established in Korea compared to cosmetic rhinoplasty. Nasal reconstruction poses a challenging problem when the defect is large and involves all 3 layers of the nose including the septum. We report a patient who underwent nasal reconstruction due to subtotal, full thickness defect of the nose after repeated failed rhinoplasties including use of a nasolabial flap. A staged operation was planned. First, a radial forearm free flap was used to reconstruct the inner layer. After 4 months, the bulk of the forearm tissue was reduced and used as inner lining at the second operation. In the second operation, the framework of the lower 2/3 of the nose was formed of autologous rib cartilage, and the outer skin defect was covered with a forehead flap. Six weeks later, the forehead flap was divided. One year after the last operation, the patient can breathe well, and his nose has better esthetics than before surgery. We believe this is the first report of nasal reconstruction using a radial forearm free flap and a forehead flap to restore a subtotal, full thickness defect of a nose.
Key words
Full text:
1
Database:
WPRIM
Main subject:
Rhinoplasty
/
Ribs
/
Skin
/
Cartilage
/
Nose
/
Esthetics
/
Free Tissue Flaps
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Forearm
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Forehead
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Korea
Limits:
Humans
Country/Region as subject:
Asia
Language:
Ko
Journal:
Journal of Rhinology
Year:
2017
Document type:
Article