title: Total reconstruction of the nose in settings where resources are limited.
abstract: We describe a series of 8 patients who had total reconstruction of the nose during 4 separate missions to Ethiopia. The aetiology was noma (n=3), assault (n=2), acid burn (n=1), squamous cell carcinoma (n=1), and a sequela of meningococcal septicaemia (n=1). Reconstruction was with forehead flaps when adequate tissue was available (n=6) and with radial forearm flaps when it was not (n=2). Some reconstructive approaches require procedures to be done in stages, and in settings where resources are limited, difficulties with the continuity of care and provision for the management of complications, must be overcome.
authors.affiliation: Department of Plastic Surgery, Great Ormond Street Hospital for Children, UK. Electronic address: mr.w.rodgers@gmail.com.
authors.forename: W
authors.initials: W
authors.lastname: Rodgers
authors.affiliation: Department of Oral and Maxillofacial Surgery, University College London Hospital, UK.
authors.forename: T
authors.initials: T
authors.lastname: Lloyd
authors.affiliation: Department of Plastic Surgery, The Mid Yorkshire Hospitals NHS Trust, UK.
authors.forename: L
authors.initials: L
authors.lastname: Fourie
authors.affiliation: Department of Craniofacial Surgery, The Birmingham Children's Hospital, UK.
authors.forename: H
authors.initials: H
authors.lastname: Nishikawa
authors.affiliation: Department of Human Geography, Exeter University, UK.
authors.forename: D
authors.initials: D
authors.lastname: Kuoraite
authors.affiliation: Department of Plastic Surgery, Great Ormond Street Hospital for Children, UK.
authors.forename: D
authors.initials: D
authors.lastname: Dunaway
authors.affiliation: Department of Plastic Surgery, Great Ormond Street Hospital for Children, UK.
authors.forename: N
authors.initials: N
authors.lastname: Bulstrode
mesh_terms: D006801:Humans; D009625:Noma / Q000601:surgery; D009666:Nose / Q000601:surgery*; D009669:Nose Neoplasms / Q000601:surgery; D019651:Plastic Surgery Procedures; D013524:Surgical Flaps / Q000601:surgery
keywords: Noma; Nose reconstruction; Resource-poor