Nose burns: 4-dimensional analysis - 28/09/17

Doi : 10.1016/j.anorl.2017.02.014

J. Bouguila ^a,^b,^⁎ , C. Ho Quoc ^a, R. Viard ^a, A. Brun ^a, D. Voulliaume ^a, J.-P. Comparin ^a, J.-L. Foyatier ^a
^a Service d’ORL, de chirurgie Maxillo-faciale et esthétique, centre hospitalier universitaire La Rabta, 1007 Tunis, Tunisia
^b Service de chirurgie plastique et reconstructrice, centre des brûlés, hôpital Saint-Joseph–Saint-Luc, 20, quai Claude-Bernard, 69365 Lyon, France

^⁎Corresponding author. Tel.: +216 986 466 64.

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Abstract

The nose is the central organ of the face. It has two essential roles, aesthetic and breathing. It is often seriously damaged in the context of facial burns, causing grotesque facial disfigurement. As this disfigurement is visible on frontal and profile views, the patient suffers both socially and psychologically. The nose is a three-dimensional organ. Reconstruction is therefore more difficult and needs to be more precise than in other parts of the face. Maintaining symmetry, contour and function are essential for successful nasal reconstruction. Multiple factors determine the optimal method of reconstruction, including the size of the defect, its depth and its site. Satisfactory social life is recovered only after multiple surgical procedures and long-term rehabilitation and physiotherapy.

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Keywords : Burn, Nose, Skin graft, Reconstruction, Rhinoplasty