Complex nasal reconstruction after paracoccidioidomycosis infection--Case report

Area of Science:

• Infectious Diseases
• Plastic Surgery
• Otorhinolaryngology

Background:

• Paracoccidioidomycosis, caused by the *Paracoccidioides* genus, primarily affects the lungs but can disseminate to other tissues.
• Sequelae of paracoccidioidomycosis can lead to significant facial anatomical and functional deformities, particularly affecting the nose.
• Reconstructive surgery is crucial for addressing functional impairments and aesthetic concerns arising from these sequelae.

Observation:

• A patient presented with extensive, unaesthetic, and functional nasal sequelae secondary to paracoccidioidomycosis.
• The sequelae resulted in significant disfigurement and compromised nasal function.
• Previous treatments for paracoccidioidomycosis had not fully addressed the resulting deformities.

Findings:

• A three-stage surgical reconstruction was performed using the paramedian forehead flap.
• The procedure adhered to the principles of regional unit reconstruction.
• The reconstruction successfully addressed both the aesthetic and functional deficits of the nose.

Implications:

• The paramedian forehead flap is an effective reconstructive option for extensive nasal sequelae from paracoccidioidomycosis.
• This surgical approach can restore both facial aesthetics and nasal function.
• The study highlights the importance of multidisciplinary management for complex infectious disease sequelae.