RECONSTRUCTION OF WEGENERS NASAL DEFORMITY USING BILATERAL FACIAL ARTERY MUSCULOMUCOSAL FLAPS

The nasal deformity associated with Wegener's granulomatosis has been well described. As the disease progresses, there is destruction of sep tal cartilage, which leads to a saddle-nose deformity. Reconstruction of this defect necessitates replacement of dorsal and columellar suppo rt. These efforts are often limited by deficits in nasal lining, becau se the nasal mucosa is destroyed by progressive vasculitis. We present a case of a patient with quiescent Wegener's granulomatosis whose sad dle-nose deformity was reconstructed using costal cartilage for suppor t and bilateral facial artery musculomucosal (FAMM) flaps for nasal li ning replacement. A second procedure was required at 3 months to debul k the intranasal pedicles of the FAMM flap.