A Novel Approach for Total Nasal Reconstruction

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.