Start Date

29-4-2021 7:05 PM

End Date

29-4-2021 7:15 PM

Document Type

Poster

Description

Complete congenital arhinia is a rare defect of embryogenesis leading to the absence of the external nose and nasopharyngeal airway. In this study, we report our novel multi-staged reconstructive approach of congenital arhinia in addition to literature review. Reconstruction was achieved via several spaced operations. A nasal methyl methacrylate prosthesis was first created from a stereolithographic model for use as a temporary prosthesis and tissue expander. Lefort 1 osteotomy with cannulization was then utilized for midface advancement and nasopharyngeal airway formation. External nasal framework was constructed with bilateral conchal bowl cartilage and rib osteocartilagenous grafts. The patient was overall pleased with the aesthetics and had safe decannulation with the sustained ability to breathe through the nasopharyngeal airway post-operatively.

Additional Files

spiller_reconstruction_congenital_arhinia-ocr.pdf (39 kB)
Abstract - Spiller


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Apr 29th, 7:05 PM Apr 29th, 7:15 PM

Reconstructionof Congenital Arhinia with Stereolithography

Complete congenital arhinia is a rare defect of embryogenesis leading to the absence of the external nose and nasopharyngeal airway. In this study, we report our novel multi-staged reconstructive approach of congenital arhinia in addition to literature review. Reconstruction was achieved via several spaced operations. A nasal methyl methacrylate prosthesis was first created from a stereolithographic model for use as a temporary prosthesis and tissue expander. Lefort 1 osteotomy with cannulization was then utilized for midface advancement and nasopharyngeal airway formation. External nasal framework was constructed with bilateral conchal bowl cartilage and rib osteocartilagenous grafts. The patient was overall pleased with the aesthetics and had safe decannulation with the sustained ability to breathe through the nasopharyngeal airway post-operatively.