Nasal Reconstruction with Forehead Flap: Our Experience

Abstract

Face represents complete personality of a man or woman and on the middle of face nose is situated. So nose is seen first and can not escape from the eyes of others. Nose gives beauty to face. Therefore cosmetically it is very important part of a person especially for woman. There are many situations when due to disease or trauma nasal defect araises, which requires nasal correction or reconstruction of nose. During cancer diagnosis camps at Government Hospitals and even at more remote places we came across few patients suffering from cancer of nose. These patients were operated and the nasal defect thus araised were repaired with midline Forehead flaps. Rhinoplasty is a very costly technique in India and the surgeons doing Rhinoplasty can be counted on fingers here. Our technique is although very old but it is cost effective and can be performed even at remote places in Local anaesthesia with sedation. This is a retrospective multicentric study representing a series of six cases of nasal reconstruction after Nasal cancer surgery in a period from Jan 2009 to April 2011 at Government and Private Hospitals. These Hospitals are of the level of secondary Referral centres. Six patients were analysed according to the age, sex, anatomical location of lesion on the nose. All patients were male, age ranging from 56 to 72 years. Five out of six patients were of basal cell carcinoma and one was suffering from squamous cell carcinoma. All patients were operated and nasal reconstruction was done with midline forehead flap with good aesthetic result.