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Reconstruction of a near-total nasal defect using a precontoured titanium mesh with a converse scalping flap

The reconstruction in case of large nasal defects, especially affecting the cartilaginous portion, is a surgical and aesthetic challenge. The result has to fulfill functional and aesthetic aspects concerning shape, texture, and nasal breathing, which requires accurate reproduction of nasal lining, s...

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Bibliographic Details
Main Authors: Horn, Dominik (Author) , Engel, Michael (Author) , Bodem, Jens (Author) , Hoffmann, Jürgen (Author) , Freudlsperger, Christian (Author)
Format: Article (Journal)
Language:English
Published: 2012
In: The journal of craniofacial surgery
Year: 2012, Volume: 23, Issue: 5, Pages: e410-e412
ISSN:1536-3732
DOI:10.1097/SCS.0b013e31825cef78
Online Access:Verlag, Volltext: http://dx.doi.org/10.1097/SCS.0b013e31825cef78
Verlag, Volltext: https://journals.lww.com/jcraniofacialsurgery/Fulltext/2012/09000/Reconstruction_of_a_Near_Total_Nasal_Defect_Using.109.aspx
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Author Notes:Dominik Horn, Michael Engel, Jens Philipp Bodem, Jürgen Hoffmann, Christian Freudlsperger
Description
Summary:The reconstruction in case of large nasal defects, especially affecting the cartilaginous portion, is a surgical and aesthetic challenge. The result has to fulfill functional and aesthetic aspects concerning shape, texture, and nasal breathing, which requires accurate reproduction of nasal lining, support, and coverage. Here, we describe nasal reconstruction in a 36-year-old woman after near-total nasal resection due to a malignant peripheral nerve sheath tumor in the glabellar and nasal regions. After tumor resection, the cartilaginous and bone structures were reconstructed using a dynamic titanium mesh, which was precontoured on a three-dimensional-print model of the preoperative situation. Soft tissue defects were covered as a 2-stage procedure using a Converse scalp flap. We achieved an adequate long-term functional and aesthetic and oncological result. Titanium mesh in combination with Converse flap proved to be an alternative in extensive composite midfacial defects.
Item Description:Gesehen am 04.09.2018
Physical Description:Online Resource
ISSN:1536-3732
DOI:10.1097/SCS.0b013e31825cef78

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