ArticleThe Journal of craniofacial surgery2026
Total Nasal Reconstruction Redefined: Classic Craft Meets Microsurgical Innovation.
Article in The Journal of craniofacial surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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3 authors.
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Abstract
The authors illustrate a unique case of total nasal reconstruction that successfully combined historical reconstructive techniques with modern microsurgery, supported by artificial intelligence-assisted operative planning. The patient presented with multiple failed nasal reconstructions, previously performed at different surgical units, aimed to correct congenital nasal dysplasia due to Binder syndrome. In this case, a prelaminated radial forearm free flap was used for the nasal lining, a costal cartilage tripod for structural support, and a delayed forehead flap for external coverage. To reconstruct the nasal septum and ensure an anatomically aligned airway, the authors employed a vascularised corticocancellous free flap from the medial femoral condyle. Fourteen months postoperatively, the patient had a well-healed, mucosalised airway and an improved nasal structure.
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