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

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...

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Detalles Bibliográficos
Autores principales: Walton, Robert L., Seelaus, Rosemary, Robinson, Brent R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7288871/
https://www.ncbi.nlm.nih.gov/pubmed/32537309
http://dx.doi.org/10.1097/GOX.0000000000002568
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author Walton, Robert L.
Seelaus, Rosemary
Robinson, Brent R.
author_facet Walton, Robert L.
Seelaus, Rosemary
Robinson, Brent R.
author_sort Walton, Robert L.
collection PubMed
description 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.
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spelling pubmed-72888712020-06-11 Subtotal Nasal Reconstruction Using a Custom 3-Dimensional Porous Polyethylene Construct Walton, Robert L. Seelaus, Rosemary Robinson, Brent R. Plast Reconstr Surg Glob Open Case Report 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. Wolters Kluwer Health 2019-12-11 /pmc/articles/PMC7288871/ /pubmed/32537309 http://dx.doi.org/10.1097/GOX.0000000000002568 Text en Copyright © 2019 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Case Report
Walton, Robert L.
Seelaus, Rosemary
Robinson, Brent R.
Subtotal Nasal Reconstruction Using a Custom 3-Dimensional Porous Polyethylene Construct
title Subtotal Nasal Reconstruction Using a Custom 3-Dimensional Porous Polyethylene Construct
title_full Subtotal Nasal Reconstruction Using a Custom 3-Dimensional Porous Polyethylene Construct
title_fullStr Subtotal Nasal Reconstruction Using a Custom 3-Dimensional Porous Polyethylene Construct
title_full_unstemmed Subtotal Nasal Reconstruction Using a Custom 3-Dimensional Porous Polyethylene Construct
title_short Subtotal Nasal Reconstruction Using a Custom 3-Dimensional Porous Polyethylene Construct
title_sort subtotal nasal reconstruction using a custom 3-dimensional porous polyethylene construct
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7288871/
https://www.ncbi.nlm.nih.gov/pubmed/32537309
http://dx.doi.org/10.1097/GOX.0000000000002568
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