Honour amputation is a common cause of nose amputation in Pakistan, especially in Bahawalpur region. Skeletal support is always a problem in major nasal amputations. It needs multiple delays and extra support later on, with all traditional techniques. We used sliding septal technique to reconstruct the central cartilaginous support of the nose. In this technique we used the remaining septum as a free graft. Ten patients were treated with this technique with excellent results. Nasal lining was provided either with septal artery mucosal flap or with nasolabial flap. Forehead flap was the only flap to provide external cover. Nostril rim were grafted with trimmed choncial cartilage primarily. In three patients debulking procedures were done later on , but no skeletal procedures. In conclusion, this technique has given an excellent skeletal support and a nice tip projection with no delays or extra support later on. Patient satisfaction rate was 100%.
1. Millard, D. R Jr.Total reconstructive r h i n o p l a s t y a n d a m i s s i n g link.Plast.Reconstr.Surg.37: 167-183,1966
2. Ollier: Des transplations periostiques et osseuses sur 1’omme.paris, 1862 nr 22.Osteoplastic appliquee a la restauration du nez.Soc.Imper de med de lyon, 1863.
3. Isreal,J.Ubereinige,plastischeoperation. Chior.Kongr.Verhandl.1887.Bd.2.s.85.
4. Wolkowitsch, NM: Zum ausfsatze Wredens: N a s e n p l a s t i k a u s d e m F i n g e r . Zentralbl.Chir.,s.1075,1902.
5. Mandy: Rhinopalstiknit nit director E i n p f l a n z u n g e i n e s H a u t p e r i o s k n o c h e n l a a p e n s a u s d e r schlusselbeinschultergegend.Beitr.Klin.Chir ; bel.77.1908.
6. Von Mangold: correction of saddle nose by cartilages transplant.Gesellschr.Chir, 29:460,1900.
7. Blair, V.P.: Total and subtotal restoration of nose. J.A.M.A., 85:1931,1925.
8. Gillies, H.D.Plastic surgery of face. London:Oxford Medical Publishers; 1920.
9. Chait, I.A., Becker, H., Cort, A.The versatile costal osteochondral graft in nasal reconstruction.Br.J.Plast.Surg.33: 179,1980.
10. (Millard.D.R.Jr.Reconstructive rhinoplasty for the lower half of a nose. Plast Reconstr.Surg.53: 133,1974.)
11. (Burget, G.C., Menick, F.J.nasal support and lining: the marriage of beauty and blood supply.Plast.Reconstr.Surg.84: 189,1989.)
All published material becomes the sole property of the Pakistan Journal of Plastic Surgery, copyrighted by the Pakistan Association of Plastic Surgeons (PAPS). By submitting an article or brief communication, all authors agree to these conditions.
During the submission process, all authors have required to complete a copyright transfer agreement, “Author Consent form” By completing the copyright transfer agreement, you are transferring copyright of figures, tables, videos, and the content of the manuscript to the Pakistan Association of Plastic Surgeons (PAPS).
If you do not wish to or cannot transfer copyright of some or all of your content, please contact the editorial office at pjpspakistan@gmail.com