Balaji Dental & Craniofacial Hospital

Balaji Dental ISO 9001:2008
Nose Recontruction before after

Nose Reconstruction Surgery


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The shape of the nose contributes a great deal to the appearance of the face. A deformed nose gives the face an unpleasant appearance. The nose may be deformed by birth or may be injured in an accident. If the shape of the nose is not symmetrical, this too changes the appearance giving an unpleasant look. The deformity can be corrected by reconstructive surgery.

The nose is a complex structure that is made up of a bony skeletal framework, combined with a unique type of specialized bone-like elastic tissue called cartilage and soft tissues constituting of muscles and skin. To reconstruct the shape of the nose, a graft has to be taken from other parts of the body. But a major concern is that the color of the graft taken should match the color of the nose otherwise it will result in an ugly scarred appearance. To avoid this, a graft taken from the forehead is the best choice. The forehead is very close to the nose and also its color matches that of the nose perfectly.

This reconstruction is a surgical procedure in which a graft consisting of a section of the skin along with blood vessels is lifted from the forehead region with the base of the graft still attached to the forehead in between the eyebrows. The wound on the forehead is sutured. The graft is then brought downwards and attached to the nose tip.

After blood supply is established in the nose, the graft tissue is cut off from the forehead. With this reconstruction, there is no color mismatch and it gives the nose a more normal appearance. Along with this if required, cartilage grafts from the ribs can be taken to reconstruct the side or central prominence of the nose. The type of reconstructive surgery required will depend on the extent of deformity of the nose.

A social worker and human rights activist was referred to Balaji Dental and Craniofacial Hospital for specialized reconstructive surgery of the nose. His work involved him to interact with many people from different walks of life. In one such encounter, during a civil unrest, a miscreant bit his nose. After initial first aid treatment, he was referred here for expert care.

The photographs of a 7-year-old boy show how the nose injured in an accident was reconstructed using a graft from the forehead. The sharpness of the nose and nose tip is accurately reconstructed to give a more natural form and appearance. The photographs of a 20-year-old girl show how the shape of the nostrils was deformed since birth. The side of the nose is rebuilt giving a more normal structure and appearance.
CASES

Case I:
Nasal-defect-before-treatment     Nasal defect side view before treatment    Placement of forehead flap     
1. Nasal defect before treatment
2. Nasal defect Side View before treatment
3. Placement of forehead flap
Forehead flap placed and sutured     Post operative view after one month    After Surgery Nose reconstruction
4. Forehead flap placed and sutured
5. Post operative view after one month
6. Post operative side view after one month

Case II:
A boy's nose severy injured in an accident     Forehead flap used for nose reconstruction    Few days after nose reconstruction surgery
1. A boy's nose severy injured in an accident
2. Forehead flap used for nose reconstruction
3. Few days after nose reconstruction surgery

Case III:
 Nose deformity    During surgery   After surgery
1. Nose deformity         2. During Surgery       3. After Surgery