fig5

Figure 5. (A) Two years after the initial injury, the aforementioned patient persisted in having a total nasal defect with the absence of all nasal subunits; (B) turn-in mucosal advancement flaps were performed to recreate the nasal lining; (C, D) total nasal reconstruction was performed with calvarial free bone grafts to create underlying nasal framework; (E) a paramedian forehead flap was performed for soft tissue reconstruction of the external nose; (F) final reconstructive result at 3.5 years post-injury.