April 2020 HSC Section 4 - Plastic and Reconstructive Problems

Volume 144, Number 1 • Nose Microvascular Reconstruction

Fig. 8. Patient 2, with one-fold reconstruction. ( Left ) Following deformity after multiple skin cancer excisions, skin grafts, and irradiation for xeroderma pigmentosa. ( Right ) Postoperative result at 1 year. The cheek and lip deformities were corrected with expanded cheek flaps during the nasal repair. (From Menick FJ. Aesthetic Nasal Recon- struction: Principles and Practice . 2018. Publisher: www.aestheticnasalreconstruction. com.)

Fig. 9. Patient 3, with circumferential lining only. ( Left ) Small, collapsed nose with retruded upper lip after primary intranasal lining loss. A circumferential microvascular flap had failed previously because of insetting pedicle compromise. ( Right ) Postop- erative result after second radial forearm flap without revision. Note correction of lip retrusion with floor release and resurfacing and reexpansion of nasal skin envelope. (FromMenick FJ. Aesthetic Nasal Reconstruction: Principles and Practice . 2018. Publisher: www.aestheticnasalreconstruction.com.)

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