Garrigues - Nasal Reconstruction€¦ · Nasal Reconstruction Ned Garrigues, MD, FACS San Diego,...

Preview:

Citation preview

7/1/2014

1

Nasal Reconstruction

Ned Garrigues, MD, FACS

San Diego, California

7/1/2014

2

Second Intent

• “Fester”

• Homograft

• Prosthesis

Second Intent

• “Fester”

• Homograft

• Prosthesis

7/1/2014

3

Second Intent

• “Fester”

• Homograft

• Prosthesis

7/1/2014

4

Second Intent

• “Fester”

• Homograft

• Prosthesis

7/1/2014

5

Direct Closure

7/1/2014

6

7/1/2014

7

7/1/2014

8

7/1/2014

9

7/1/2014

10

Skin Grafts

• Split Thickness

• Full Thickness

Skin Grafts

• Split Thickness

• Full Thickness

Skin Grafts

• Split Thickness

• Full Thickness

7/1/2014

11

7/1/2014

12

7/1/2014

13

7/1/2014

14

7/1/2014

15

Local Flaps

• Rhombic

• Bilobed

• Dorsal Nasal

7/1/2014

16

Local Flaps

• Rhombic

• Bilobed

• Dorsal Nasal

7/1/2014

17

7/1/2014

18

7/1/2014

19

7/1/2014

20

7/1/2014

21

7/1/2014

22

Local Flaps

• Rhombic

• Bilobed

• Dorsal Nasal

7/1/2014

23

7/1/2014

24

7/1/2014

25

7/1/2014

26

7/1/2014

27

7/1/2014

28

7/1/2014

29

7/1/2014

30

7/1/2014

31

7/1/2014

32

Local Flaps

• Rhombic

• Bilobed

• Dorsal Nasal

7/1/2014

33

7/1/2014

34

7/1/2014

35

7/1/2014

36

Regional Flaps

• Nasolabial

• Facial Island

• Forehead

Regional Flaps

• Nasolabial

• Facial Island

• Forehead

7/1/2014

37

7/1/2014

38

7/1/2014

39

7/1/2014

40

7/1/2014

41

7/1/2014

42

7/1/2014

43

Regional Flaps

• Nasolabial

• Facial Island

• Forehead

7/1/2014

44

7/1/2014

45

7/1/2014

46

Regional Flaps

• Nasolabial

• Facial Island

• Forehead

7/1/2014

47

7/1/2014

48

7/1/2014

49

7/1/2014

50

7/1/2014

51

7/1/2014

52

7/1/2014

53

7/1/2014

54

7/1/2014

55

7/1/2014

56

7/1/2014

57

7/1/2014

58

7/1/2014

59

Distant Flaps

• Free Tissue Transfer

7/1/2014

60

7/1/2014

61

Recommended