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A Novel Approach for Total Nasal Reconstruction.

Shahrouz Zarrabi1, Mark Welch2, John Neary3

  • 1Gratis Assistant Clinical Professor and Private Practitioner, Department of Oral and Maxillofacial Surgery, Louisiana State University Health and Sciences Center, New Orleans, LA.

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
|December 18, 2018
PubMed
Summary
This summary is machine-generated.

This study details a complex midface reconstruction for a cancer patient, successfully restoring her nose and upper lip using virtual surgical planning and advanced techniques. The patient achieved excellent cosmetic and functional outcomes, significantly improving her psychosocial well-being.

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Area of Science:

  • Plastic Surgery
  • Oral and Maxillofacial Surgery
  • Biomedical Engineering

Background:

  • Advanced cancer treatment led to significant midface, nasal, and upper lip structure loss.
  • Previous reconstructive surgeries were unsatisfactory, necessitating a novel approach.
  • Severe bone and cartilage deficits presented substantial reconstructive challenges.

Observation:

  • A 61-year-old female patient with extensive midfacial defects underwent a multistage reconstruction.
  • Virtual surgical planning was employed to design a patient-specific titanium nasal implant.
  • The reconstruction utilized the custom implant, costal cartilage, and a paramedian forehead flap.

Findings:

  • Successful restoration of the nose and increased upper lip length were achieved.
  • The integrated approach provided robust structural support and aesthetic improvement.
  • The patient reported high satisfaction with both functional and cosmetic results.

Implications:

  • This case highlights the efficacy of virtual surgical planning in complex facial reconstructions.
  • Advanced reconstructive techniques can significantly improve patient quality of life and psychosocial status.
  • The multidisciplinary approach offers a viable solution for severe facial defects post-cancer treatment.