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CASE REPORT Table of Contents   
Year : 2020  |  Volume : 31  |  Issue : 1  |  Page : 153-156
Reconstruction of moustache and ala of the nose with a single forehead flap


Department of Oral and Maxillofacial Surgery, Balaji Dental and Craniofacial Hospital, Chennai, Tamil Nadu, India

Correspondence Address:
S M Balaji
Balaji Dental and Craniofacial Hospital, 30, K.B. Dasan Road, Teynampet, Chennai, Tamil Nadu - 600018
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijdr.IJDR_100_20

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Reconstruction of critical-sized defects of composite facial units is a challenging one. This is amplified when facial hair-bearing areas are included. A case of reconstruction of multiple midfacial defects is presented. Initially, defective jaws were addressed. Later, appropriate modification of existing extended paramedical forehead flap to sequentially reconstruct defective lip, moustache, and parts of alae are described. The flap design was such that hair-bearing areas were used to reconstruct moustache while the nasal alar defect was reconstructed using the non-hair-beating forehead skin. Finally, dental implants were also placed. The technique was reliable, giving minimal donor site deformity but with maximum result. However, it is a multi-stage procedure. The paper also describes the challenges of midfacial unit reconstruction as handled in this case.


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