July 28, 2009
Gunshot victim missing nose
After many months of planning, Dr. Mark Delacure and I, working with a team of plastic and reconstructive surgeons, rebuilt Brandy’s nose today. I began the surgery by opening her nasal airways and preparing the nose and midface for Dr. Delacure’s free flap. He harvested the free flap that had already been constructed into a nasal shape on her forearm, then transfered it up to her face. This major nasal reconstruction was a novel application of a well-known technique of using forearm skin and bone to rebuild the nose. However, most often this is used as the lining of the nose, with the cover coming from a forehead skin flap. In this case, the flap was used partly for cover and partly for lining. Brandy will need another surgery in a few months to finish the reconstruction of her nostrils. But after this surgery, she will be able to breathe and smell for the first time in 5 years.
For press coverage of this story, see the Daily News article: NYU Medical Center to give shooting victim brand new nose Tuesday http://www.nydailynews.com/news/2009/07/28/2009-07-28_miracle_surgery_new_nose_for_crime_victim.html
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