A Unique Method for Total Nasal Defect Reconstruction - Prefabricated Innervated Osteocutaneous Radial Forearm Free...

Area of Science:

• Plastic Surgery
• Reconstructive Surgery
• 3D Template Technology

Background:

• Complete nasal defects present significant reconstructive challenges.
• Skin cancer is a common cause of nasal defects requiring complex reconstruction.
• Advancements in reconstructive techniques are crucial for restoring form and function.

Observation:

• A 52-year-old woman with a complete nasal defect due to skin cancer underwent a two-stage total nose reconstruction.
• The first stage involved raising an innervated osteocutaneous radial forearm flap, termed "Neo nose," utilizing a 3D template.
• The second stage consisted of transferring the vascularized "Neo-nose" to the facial defect and covering it with a pre-expanded forehead flap.

Findings:

• Successful two-stage total nose reconstruction was achieved using a 3D-templated, innervated osteocutaneous radial forearm flap.
• The "Neo-nose" flap demonstrated good vascularization for successful transfer.
• The pre-expanded forehead flap provided adequate coverage for the reconstructed nose.

Implications:

• This technique offers a viable solution for complex total nose reconstruction.
• The use of 3D templates enhances precision in flap design and placement.
• Innervated flaps may improve sensory outcomes in nasal reconstruction.
• This approach holds promise for improving patient quality of life after extensive nasal defects.