case_images: PMC11341393_01
case_images: The local conditions following the eradication of basal cell cancer. The entire nasal pyramid and a part of the septum are absent, frontal view (A) and lateral view (B).
case_images: fsurg-11-1420673-g002.jpg
case_images: PMC11341393_01_fsurg-11-1420673-g002.jpg
case_images: F2
case_images: In the second surgery, all residual nasal subunits were removed, including the columella, the entire cartilaginous septum, and the distal part of the bone septum (Figure 2).
case_images: The harvest of the composite forehead flap (A) splitting the flap's edges into four wings resembling the dragonfly (B) after that, the flap is rotated to cover the septal cantilever graft (C).
case_images: fsurg-11-1420673-g003.jpg
case_images: PMC11341393_01_fsurg-11-1420673-g003.jpg
case_images: F3
case_images: The dissection of the flap into four wings proceeded as previously described, and the flap was transposed to cover the septal framework (Figure 3).
case_images: An endoscopic optical device is used for a 40-day postoperative endonasal check. There was no fistula or residual bare muscular surface present on either side of the neo-septum. The right side (A) and the left side (B) Aesthetic outcome after 6 months, lateral (C) and frontal view (D) and the view from below (E).
case_images: fsurg-11-1420673-g004.jpg
case_images: PMC11341393_01_fsurg-11-1420673-g004.jpg
case_images: F4
case_images: During the forty-day postoperative follow-up, the patient's septum, which had been reconstructed with three laminated layers, was examined using an endoscopic optical device (Figures 4A,B).