case_images: PMC11427417_01
case_images: (A) Presents the pre-surgical condition of the patient's nasal structural deformity, (B) shows in detail the precise incision design for nasal reconstruction, (C) demonstrates the process of extracting and preparing the cartilage scaffold from the patient's ear, and (D) depicts the patient's nasal recovery one month after undergoing the surgical treatment.
case_images: fsurg-11-1440418-g001.jpg
case_images: PMC11427417_01_fsurg-11-1440418-g001.jpg
case_images: F1
case_images: Despite receiving emergency surgical intervention, the healing process resulted in significant scarring, leading to the loss of the right nasal ala, external nostril retraction, and a marked local deformity (Figure 1A). During the preoperative preparation phase, detailed anatomical marking and precise surgical labeling were meticulously performed to ensure clarity and accuracy in the surgical plan for the reconstruction (Figure 1B). The nasal cartilage was shaped by cutting two bowed strips (about 2.5 cm x 1 cm), one shield-shaped piece (about 2 cm x 1.2 cm), and two dome-shaped pieces (about 1.5 cm x 1.5 cm), which were placed at the nasal alae, columella, and tip of the nose, respectively, and trimmed to the appropriate size based on preoperative measurements and symmetry to achieve bilateral symmetry (Figure 1C).
case_images: Right nasal soft tissue discontinuity and slight thickening of the dorsal nasal and maxillofacial soft tissues.
case_images: fsurg-11-1440418-g002.jpg
case_images: PMC11427417_01_fsurg-11-1440418-g002.jpg
case_images: F2
case_images: Facial magnetic resonance imaging (MRI) revealed a soft tissue discontinuity in the right nasal ala and mild soft tissue hypertrophy within the nasal dorsum and maxillofacial area (Figure 2).