Reconstructive rhinoplasty in Benin City, midwestern Nigeria: Indications, techniques and outcome

Abstract

Deformities of the nose threaten the integrity of the upper airways and cause a disturbing loss of self identity to the patient. The surgeon faces the challenge of replacing missing tissues to achieve optimal functional and aesthetic outcome. With the growth of the subspecialty of Plastic Surgery in our centre, there is a need to document local experience.
Sixteen of 18 patients presenting for nasal reconstruction form the basis of this report. The ages ranged from 6months to 43 years. Twelve were males and 6 were females. Accidental trauma was the leading indication for reconstruction (10, 56%). 3 children had congenital lesions: one accessory nose and two presented with the bifid nose- hypertelorism complex. 3 patients presented with growths on the nose while two had complications arising from previous viral infections. Direct closure was possible in 9 patients; while3 patients each had nasolabial flap and the forehead flap techniques for reconstruction. Unlike in the Caucasians where surgery for cutaneous malignancies is the leading cause of nasal defects, accidental trauma is the most common indication for reconstruction. Application of the subunit principles and provision of adequate mucosal lining, cartilage scaffolding and well matched and durable skin cover produces satisfactory results in our population.