Non-standard clinical situation in rhinosurgery and ways to solve it

ABSTRACT

The most common cause of the enlargement and disfigurement of the external nose leading to a remarkable cosmetic defect and to a non-standard clinical situation (including repeated operations) is rhinophyma. A clinical case of a patient with a giant rhinophyma who underwent surgical treatment (according to Mohs) is described in the article. Operation resulted in a closure of the defect using a non-standard paramedian transpositional frontal skin-fascial flap. This clinical observation is an illustrative
example of classical and non-standard methods and techniques of plastic surgery used for the treatment of patients with large skin and soft tissue defects on the face and the restoration of all the important internal and external nose functions.