Vascularised free tissue transfer has revolutionized skull base defect reconstruction. It allows to restores form and functions without compromising the principles of oncoplastic surgery. Anterolateral thigh (ALT) free flap is a workhorse flap in head and neck reconstruction. The versatility of the ALT-free flap makes it unique to reconstruct almost every soft-tissue defect in head and neck reconstruction. Due to the large surface of the anterolateral thigh, a very large flap can be harvested with very little donor site morbidity. Here we have reported a case of 40 years, male patient, with a known case of primary squamous cell carcinoma (SCC) of the left parotid gland. After the surgical extirpation of the tumor, an extensive soft-tissue defect was created in the region of the left lateral skull base defect. For coverage of large defect, we did the ALT free flap size 25×18 cm (450 cm2). The donor site was partially closed primarily and partially skin grafted. The patient was discharged uneventfully on the 7th postoperative day.
Background: Nose, because of its prominence and central location in the face is more prone to injury. Nasal bone fractures (NBFs) are one of the most common fractures in patients with maxillofacial injuries. The closed reduction of NBFs is well documented and results in varied clinical outcomes. There is paucity over detailed reports on patient satisfaction in terms of functional and aesthetic aspects as well as the reasons for dissatisfaction of the same.Methods: We had conducted a prospective cohort study of previously treated patients to evaluate the postoperative functional and aesthetic outcomes like patient satisfaction following closed reduction of NBFs in the department of plastic surgery.Results: The average age of patients was 40.61 years (SD±15.83), of which 63.7% were male and 36.21% female. The major cause of fracture was found to be RTA (55.17%). The satisfaction as happy (9-10 score) reported by 60.34% patients for functional aspect and 41.38% patients for the aesthetic aspect of closed reduction of NBFs.Conclusions: Our study demonstrated comparatively good satisfaction results in terms of functional and aesthetic aspects following closed reduction. Closed reduction technique of nasal bone fracture is simple, safe, and easy to perform with minimal potential morbidity.
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