Osteocutaneous radial forearm free flap in subtotal nasal reconstruction.

نویسندگان

  • Alexander Michael Moore
  • Jenny Montgomery
  • Jeremy McMahon
  • Saghir Sheikh
چکیده

A 66-year-old man presented with a large squamous cell carcinoma of the right nasal vestibule. He underwent partial rhinectomy and medial maxillectomy followed by staged reconstruction. Reconstruction of a full-thickness nasal defect requires repair of three distinct layers: the skin-soft tissue envelope, subsurface framework and intranasal lining. We report the first use in the UK of an osteocutaneous radial forearm free flap in the reconstruction of a subtotal nasal deficit. The skin of the radial forearm free flap was tubed to recreate the nasal lining and the radial bone reconstructed the dorsal contour of the nose. A full-thickness paramedian forehead flap supplied external coverage. The osteocutaneous radial forearm free flap and forehead flap is a viable option for large nasal defects requiring reconstruction of framework, nasal lining and external covering.

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عنوان ژورنال:
  • BMJ case reports

دوره 2014  شماره 

صفحات  -

تاریخ انتشار 2014