title: [Total nasal reconstruction with a titanium miniplate as structural support].
abstract: BACKGROUND
  Total nasal reconstructions using bone graft, as structural support is the gold standard. We retrospectively studied an alternative technique relying on a titanium miniplate as a structural support.
  
  
  METHODS
  Five patients underwent total nasal reconstruction, using a 1mm titanium miniplate fixed to the frontal bone and to the anterior maxilla. The miniplate was covered by a fascia lata graft in three cases. The functional and aesthetic results were evaluated on a scale from 0 (disappointing results) to 3 (excellent results) by the patient and by the surgeon, at 1 month and at 3 years after the total nasal reconstruction.
  
  
  RESULTS
  The functional results were assessed on average at 2.2/3 at 1 month, and 2.4/3 at 3 years postoperatively. The aesthetic results are estimated at 2 (patient) and 1.8 (medical team) at 1 month and at 2.6 (patient) and 2.2 (medical team) at 3 years. There were no major complications. The minor complications were exposure of the two miniplates, which had not been covered with fascia lata. These complications were resolved by local surgery.
  
  
  CONCLUSIONS
  The functional and aesthetic results of total nasal reconstruction relying on a titanium miniplate were similar to those obtained with a bone graft. This technique is simple, there is no need for an osseous donor site, it is stable at long-term, and its cost is moderate.
authors.affiliation: Service de chirurgie maxillofaciale, chirurgie plastique et stomatologie, hôpital Nord, chemin des Bourrely, 13915 Marseille, France.
authors.forename: N
authors.initials: N
authors.lastname: Lari
authors.forename: F
authors.initials: F
authors.lastname: Salles
authors.forename: G
authors.initials: G
authors.lastname: Thiery
authors.forename: C
authors.initials: C
authors.lastname: Chossegros
authors.forename: L
authors.initials: L
authors.lastname: Guyot
mesh_terms: D000368:Aged; D001860:Bone Plates; D016025:Bone Transplantation / Q000379:methods*; D003266:Continuity of Patient Care; D006801:Humans; D008297:Male; D008875:Middle Aged; D009666:Nose / Q000601:surgery; D012086:Reoperation; D012189:Retrospective Studies; D012225:Rhinoplasty / Q000295:instrumentation* / Q000379:methods*; D014025:Titanium
chemical_list: D014025:Titanium