COMBINED ONE-STAGE PLASTY OF A TOTAL DEFECT IN FACIAL PLASTIC AND RECONSTRUCTIVE SURGERY

Abstract

Nasal defects are a common human pathology and are formed as a result of trauma, removal of neoplasms or congenital pathology. Elimination of a nose defect is a complex problem of reconstructive surgery. Historically, information about the restoration of the nose dates back to 3000 years BC. In the post-war years the F.M. Khitrov method (1) was widely used in the USSR, which has not lost its relevance at the present time. The advantage of the method is the possibility of harvesting a sufficient volume of tissues for both side, the outer cover and the inner lining and the creating conditions for forming the nose frame. The disadvantage of the method is multi-stage, the risk of violation of the trophic flap at the stages of treatment, inconsistency of texture and color to local tissues. The aim of the work is to improve methods for eliminating total nasal defects. On the example of one clinical case, a method for restoring the main anatomical structures of the nose is described. The use of autologous cartilage and a paramedian forehead flap is the optimal solution for the elimination of total nasal defects.