Subtotal Nasal Reconstruction Using a Custom 3-Dimensional Porous Polyethylene Construct

Plastic and Reconstructive Surgery. Global Open
Robert L WaltonBrent R Robinson

Abstract

Subtotal loss of the nose is a devastating occurrence. Traditional approaches to reconstruction have employed techniques that sequentially restore the nasal lining, support and external cover using autologous tissues. The results can be quite variable and are heavily weighted on surgical experience and expertise. We report a case of subtotal nasal reconstruction using a computer generated, 3-D printed porous polyethylene (PPE) scaffold. The patient is a 64-year-old man who presented with a sub-total nasal defect following excision of recurrent basal cell carcinoma. The missing parts comprised the distal half of the composite nose including the nasal floor and lining. The replacement nose was constructed on the patient's right radial forearm. A computer generated PPE nasal scaffold was prelaminated with a forearm flap for lining and a free temporal fascial flap and skin graft for external cover. Following healing, nostrils were created and the nasal construct was then microsurgically transferred to the face. At 18 months post-op, the reconstructed nose has remained stable and functional with excellent aesthetic appearance. The implications for use of 3-D scaffolds for composite nasal reconstruction are enormous.

References

Feb 1, 1993·Annals of Plastic Surgery·R L Walton, R E Brown
Jun 1, 2005·Plastic and Reconstructive Surgery·Robert L WaltonElisabeth K Beahm
Mar 26, 2010·Plastic and Reconstructive Surgery·Frederick J Menick
Oct 5, 2014·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·David A ZopfScott J Hollister
Oct 31, 2014·Plastic and Reconstructive Surgery·Yihao XuBo Zhang
Feb 1, 2015·Annals of Biomedical Engineering·Yoo Suk KimSu A Park
Dec 19, 2015·Annals of Plastic Surgery·Adam J BauermeisterMartin I Newman
Sep 30, 2016·Facial Plastic Surgery : FPS·Dane J Genther, Ira D Papel
Feb 6, 2017·The Laryngoscope·Sun Hwa ParkSung Won Kim
Feb 7, 2017·International Journal of Oral and Maxillofacial Surgery·S-Y ChoiT-G Kwon
Apr 11, 2017·Otolaryngologic Clinics of North America·Janalee K Stokken, John F Pallanch
Sep 1, 2017·Scientific Reports·Dafydd O VisscherPaul P M van Zuijlen
Jan 26, 2018·Plastic and Reconstructive Surgery·John Reinisch, Youssef Tahiri
May 26, 2018·Oral and Maxillofacial Surgery·Suhani GhaiAjay Kumar Pillai
Jul 22, 2018·The Journal of Craniofacial Surgery·Galina KhanYim Don Choi
Apr 3, 2019·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Cheng-I YenYen-Chang Hsiao

❮ Previous
Next ❯

Citations


❮ Previous
Next ❯

Software Mentioned

Mimics

Related Concepts

Related Feeds

Carcinoma, Basal Cell

Basal cell carcinoma is a form of malignant skin cancer found on the head and neck regions and has low rates of metastasis. Discover the latest research on basal cell carcinoma here.