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Nasal endoscopy in total nasal reconstruction

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Abstract

Total nasal reconstruction is a challenging task involving multiple surgical stages. It requires transfer of local and distant tissues to replace three structural layers of the nose: the lining, skeleton, and skin. Besides the paucity of local tissues, creation of the nose is demanding due to functional and aesthetic considerations, limited operative field, and poor visualization inside the created construct. The ability to inspect the newly created nasal cavity is vital in determining the condition of the airways. We present a case of complex total nasal reconstruction, where nasal endoscopy improved control of the reconstructive process and management of exposed hardware.

Level of Evidence: Level V, diagnostic study.

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Ethical Standards

This retrospective study does not require a formal consent from a local ethics committee.

Conflict of interest

Murad J. Karadsheh, Zaahir A. Turfe, and Ewa Komorowska-Timek declare that they have no conflict of interest.

Patient consent

Informed consent was obtained from the individual participant in this case report. Patient provided written consent for the use of his images.

Author information

Correspondence to Ewa Komorowska-Timek.

Electronic supplementary material

Below is the link to the electronic supplementary material.

Endoscopy of the reconstructed nose. Note the presence of exposed hardware. (MPG 13824 kb)

Video

Endoscopy of the reconstructed nose. Note the presence of exposed hardware. (MPG 13824 kb)

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Karadsheh, M.J., Turfe, Z.A. & Komorowska-Timek, E. Nasal endoscopy in total nasal reconstruction. Eur J Plast Surg 39, 65–68 (2016). https://doi.org/10.1007/s00238-015-1121-2

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Keywords

  • Nasal endoscopy
  • Nose reconstruction
  • Free flap