The nose has important physiological functions such as the regulations of temperature, humidity ＆ filtration of the air flowing into the lung and also play an important role in concluding one’s feature as the most prominent part which is located in the center of face.So a small deformity or defect may upset the harmony ＆ balance of the whole face and psychological burden ＆ difficulty in social life.
The nasal defect is classified into the skin defect, defect of supportive frame-work, lining defect and full thickness loss of the nose. In general, reconstruction of the nose has been performed using as near tissue from the nose as possible for good color match, texture and reduce the number of operation. Especially in the case of total defect of the nose, different from partial loss or deformity, quantities of tissue and several stages of operation are needed for reconstruction of the skin, inner lining and supportive structures, thus total reconstructive rhinoplasty has been thought to be one of the most difficult operation in the sphere of plastic surgery.
In the our department of plastic surgery of busan national university hospital, the total reconstructive rhinoplasty was performed in a patient who lost the entire nose except a part of ala including both inside cheek due to electric burn by use of bilateral cheek flap to reinforce the margin of pyriform aperature, midline forehead flap ＆ scalping flap to restore the soft tissue defedt, V-Y advancement flap from nasal dorsum to lengthen the columella and iliac bone graft in 4 stages.
So we obtained a satisfactory result and report it with review of articles.
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