Nb. Bikhazi et al., NASAL RECONSTRUCTION USING A COMBINATION OF ALLOPLASTIC MATERIALS ANDAUTOGENOUS TISSUES - A SURGICAL ALTERNATIVE, The Laryngoscope, 107(8), 1997, pp. 1086-1093
Re-creation of a functional and aesthetically acceptable nose after pa
rtial nasal defect requires accurate reproduction of nasal lining, sup
port, and coverage. Most authors recommend an approach to reconstructi
on with cantilevered bone grafting and paramedian forehead flap placem
ent. The authors propose an alternative approach for selected patients
with total or near-total nasal defects combining both alloplastic and
autogenous tissues. This method uses vitallium or titanium mesh for t
he dorsal framework formation, tissue-expanded paramedian forehead fla
p for soft tissue coverage, and composite chondrocutaneous auricular g
rafts for tip reconstruction. Nine individuals underwent nasal reconst
ruction using this method. The indications, details, and potential adv
antages of this technique are described with accompanying photographic
results. A flexible approach using a combination of alloplastic mater
ials and autogenous tissues provides additional reconstructive options
for individuals with total or near-total nasal defects.