ترميم سوختگي بيني در يك مرحله

SINGLE-STAGE AESTHETIC RESTORATION OF SEVERELY DISFIGURED NOSE IN BURN INJURIES

In facial burns, nose is commonly and seriously damaged with grotesque fatial disfigurement. Surface wound constraction results in visible nostril. vestibule and septum in frontal and lateral views causing the patient to suffer from serious disfigurement. In literature there are at least three different ways of nasal reconstruction in burned nose,e.g. scalping converse flap, arm flap and inversion radix skin technique. This article is based on the surgical work we carried out at the Motahary Burn and Reconstractive Hospital, a university-affiliated burn refferal center in Tehran. It discusses a number of patients with partial or subtotal nasal burn preserving the bony bridge in most of the cases. In the method described in this report, the nose is restored to its natural form in single-stage procedure. The radix skin is inverted down for restoring of lining of alar margins, nasal tip and columella. A layer of skin is then used to cover the nose. A patch of arm skin, which is the nearest available color-matched organ, is used for this purpose. We believe the presented method has several advantages compared to other complicated forms of burned nose reconstruction and believe it is the preffered procedure in such cases.