Background Cholesterol granulomas arising at the petrous apex can be treated via traditional open surgical, endoscopic, and endoscopic-assisted approaches. Endoscopic approaches require access to the sphenoid sinus, which is technically challenging in patients with conchal sphenoidal anatomy. Clinical Presentation A 55-year-old woman presented with intermittent headaches and tinnitus. Formal au...

Basal cell Carcinoma (BCC) is the most common type of skin cancer, 85% of BCC are located in the head and neck area, of which 30% on the nose. The author present a retrospective study, own experience in surgical treatment in 31 cases with basal cell carcinoma of the nose operated in the period 2005-2011. The age of patients was between 50 to 90 years old. The anatomical site of the nose the mos...

Irregularities in the nasal contour of patients who underwent multiple surgeries are frequently related also by skilled surgeons. The aim of this study was to describe the method of harvesting and the primary applications of erichondrium grafts in revision rhinoplasty to prevent postoperative irregularities.Conchal grafts were used in the reconstruction of structures missing as a result of rhin...

BACKGROUND Total nasal defects present daunting challenges to the reconstructive surgeon. The nasal skeleton can be successfully fabricated with bone and cartilage. Reconstruction of the nasal skin with a forehead flap produces an excellent color match for nasal skin. Resurfacing of the internal lining is the most difficult of the 3 layers. Local tissue is often unsatisfactory in amount and/or ...

OBJECTIVE To assess the effectiveness of replantation in the treatment of nasal amputations. DESIGN Retrospective chart review. SETTING A university medical center. RESULTS In no case did the replant survive completely, and in all cases revision surgery was required. However, in all cases, the resulting deformity was less than the original defect. In our pediatric patients, reconstruction...

BACKGROUND We aimed to present our experience with and algorithm for septal perforation repair using advancement and rotation flaps. METHODS A retrospective chart review was performed on 14 patients who underwent septal perforation repair. Etiology, perforation size, presenting symptoms, reconstruction methods, combined operation, surgical results, and complications were evaluated. RESULTS ...

Reconstruction of a full-thickness alar defect requires independent blood supplies to the inner and outer surfaces. Because of this, secondary operations are commonly needed for the division of skin flap from its origin. Here, we report a single-stage reconstruction of full-thickness alar defect, which was made possible by the use of a nasolabial island flap and septal mucosal hinge flap. A 49-...