AESTHETIC SEPTORHINOPLASTY IN BURNED NOSE

Patients who have survived thermal injuries to the face suffer from severe disfigurement and devastating deformities of full-thickness facial burns. Nose is the prominent central organ of the face which has crucial effect on aesthetic appearance. The plastic surgeon’s role to deal with such cases is to do any operations to produce a more pleasant look although the target organ could be the none burned areas of the face. It is a common belief that surgical interventions under the scarred or grafted nose are risky and may result in skin or covering graft necrosis. For this reason plastic surgeons have hesitation to perform aesthetic surgery on a burned scarred tissue. In the present study 11 cases, 8 women and 3 men with complete or subtotal nasal burn are presented. Classic aesthetic rhinoplasty operation was done to create better appearance and correct any internal or external deviations. These procedures were carried out under severely burned skins previously grafted and/or reconstructed noses. Cases were under control for about one year. There was no necrosis in any part of skin after surgery and it is believed that aesthetic rhinoplasty can be done safely in these victims with pleasing outcome.