Prelaminated free radial forearm flap for a total nasal reconstruction.
A prelaminated osteocutaneous radial forearm flap has previously been described for total nasal reconstruction, but achieving good aesthetics at the dorsum and tip tends to be difficult with a flap that can be too bulky. We present a case of total nasal reconstruction in a burns patient where a tight adherent scar at the forehead precluded the use of a forehead flap, ideal for such reconstructions. We successfully used a prelaminated free radial forearm flap, with a non-vascularised bone graft. The existing scarred skin at the dorsum was turned down as pedicled flaps for the lining. We were able to achieve a successful total nasal reconstruction which was aesthetically pleasing and made a tremendous impact on the quality of life of the patient.
Sinha
M
M
Canniesburn Plastic Surgery Unit, Glasgow Royal Infirmary, 84 Castle Street, Glasgow G4 0SF, UK. drmanish@hotmail.com
Scott
J R
JR
Watson
S B
SB
D000328:Adult; D016025:Bone Transplantation / Q000379:methods; D002056:Burns / Q000150:complications; D004954:Esthetics; D005260:Female; D006801:Humans; D009667:Nose Deformities, Acquired / Q000209:etiology / Q000601:surgery*; D012225:Rhinoplasty / Q000379:methods*; D013524:Surgical Flaps