Two case reports]

Total nasal defects after injures or surgical interventions can negatively affect patient's quality of life. Maxillofacial prosthesis is a contemporarily and reliable solution. This method gives us opportunity to restore missing tissues and helps patients to overcome social and psychological difficulties. In this article we demonstrated advantages and disadvantages of the method in two clinical cases. The application of magnetic and adhesive retention in different cases is described. Also, we outlined clinical and technological steps of maxillofacial prosthesis manufacture. Modified procedure of impression obtaining is offered.

[Expand pedicle forehead flap in the repair of whole nasal defect]

Objective:To observed the application of expanded pedicle forehead flap in nasal defect. Method:Totally 11 whole nasal defect cases in our department from June 2010 to March 2016 were treated with the expanded pedicle forehead flap. Regular follow-up was performed after operation to observe the survival condition of flaps, shape, color, texture and scar in donor site after nasal repair. Result:The expanded pedicle forehead flap and transplantation of autologous costal cartilage nasal stents were all survived, the reconstruction nasal shape was satisfied. After 1-5 years follow up, the repair using expanded forehead flap had a good color with enough blood supply, and the nasal ventilation function is well. There was only one linear scar leaved in donor site. Conclusion:Application of the expanded pedicle forehead flap is a good mothed for the treatment of whole nasal defect.