Reconstruction of a near-total nasal defect using a precontoured titanium mesh with a converse scalping flap

• Verfasst von: Horn, Dominik [VerfasserIn]
• Verfasst von: Engel, Michael [VerfasserIn]
• Verfasst von: Bodem, Jens [VerfasserIn]
• Verfasst von: Hoffmann, Jürgen [VerfasserIn]
• Verfasst von: Freudlsperger, Christian [VerfasserIn]
• Titel: Reconstruction of a near-total nasal defect using a precontoured titanium mesh with a converse scalping flap
• Verf.angabe: Dominik Horn, Michael Engel, Jens Philipp Bodem, Jürgen Hoffmann, Christian Freudlsperger
• Jahr: 2012
• Umfang: 3 S.
• Fussnoten: Gesehen am 04.09.2018
• Titel Quelle: Enthalten in: The journal of craniofacial surgery
• Ort Quelle: Philadelphia, Pa. : Lippincott Williams & Wilkins, 1990
• Jahr Quelle: 2012
• Band/Heft Quelle: 23(2012), 5, Seite e410-e412
• ISSN Quelle: 1536-3732
• DOI: doi:10.1097/SCS.0b013e31825cef78
• Datenträger: Online-Ressource
• Sprache: eng
• K10plus-PPN: 1580665195

Abstract

The reconstruction in case of large nasal defects, especially affecting the cartilaginous portion, is a surgical and aesthetic challenge. The result has to fulfill functional and aesthetic aspects concerning shape, texture, and nasal breathing, which requires accurate reproduction of nasal lining, support, and coverage. Here, we describe nasal reconstruction in a 36-year-old woman after near-total nasal resection due to a malignant peripheral nerve sheath tumor in the glabellar and nasal regions. After tumor resection, the cartilaginous and bone structures were reconstructed using a dynamic titanium mesh, which was precontoured on a three-dimensional-print model of the preoperative situation. Soft tissue defects were covered as a 2-stage procedure using a Converse scalp flap. We achieved an adequate long-term functional and aesthetic and oncological result. Titanium mesh in combination with Converse flap proved to be an alternative in extensive composite midfacial defects.