Resumo

SERRACANTA DOMENECH, J. et al. Total nasal reconstruction: case report. Cir. plást. iberolatinoam. [online]. 2007, vol.33, n.4, pp.249-256. ISSN 1989-2055.

We present the case of a 90 year-old woman with a scamous cell carcinoma located on the nose. A nasal defect must be analyzed in terms of anatomic tissue loss and aesthetic three-dimensional subunits, starting from de inside of the nose and progressing outward, layer by layer. The case that follows demostrates the use of a septal pivot flap, an olecranum bone graft restored the dorsal subunit, and bilateral conchal cartilage grafts were fashioned into new alar cartilages. Bilateral nasolabial flaps were needed and finally the skin cover defect was resurfaced as a total nasal unit made of columela, dorsum, alar units and portions of the nasal sidewalls bilaterally with a forehead flap. Four weeks after the initial reconstruction, the forehead pedicle was divided.  At this moment the woman is alive and under periodical revision.

Palavras-chave : Reconstrucción nasal; Colgajo prefrontal; Carcinoma escamoso; Reconstruction of the nose; Forehead flap; Scamous cel carcinoma.

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