Medial Femoral Condyle Flap for Nasal Support in Cocaine-Induced Midline Destruction
Prolonged cocaine use can severely damage the osteocartilaginous structures of the midface region. Involvement of the nose, sinuses, and palate has been grouped into a syndrome called cocaine-induced midline destructive lesions. These lesions may resemble other necrotizing conditions, often complica...
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| Format: | Article |
| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
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| Series: | Indian Journal of Plastic Surgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0045-1809054 |
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| author | Pedro Alvedro-Ruiz Belén Andresen-Lorca Iván Heredia-Alcalde Alessandro Thione María Dolores Pérez-del-Caz Alberto Pérez-García |
| author_facet | Pedro Alvedro-Ruiz Belén Andresen-Lorca Iván Heredia-Alcalde Alessandro Thione María Dolores Pérez-del-Caz Alberto Pérez-García |
| author_sort | Pedro Alvedro-Ruiz |
| collection | DOAJ |
| description | Prolonged cocaine use can severely damage the osteocartilaginous structures of the midface region. Involvement of the nose, sinuses, and palate has been grouped into a syndrome called cocaine-induced midline destructive lesions. These lesions may resemble other necrotizing conditions, often complicating diagnosis and treatment. A complex nasal reconstruction is introduced in a 54-year-old woman with extensive midfacial destruction after 15 years of cocaine abuse. Total nasal reconstruction was performed using a medial femoral condyle free flap (MFCFF) for internal lining and bone support in combination with a paramedian forehead flap for external coverage. The MFCFF proved to be effective in recreating the anatomy of the nasal dorsum with minimal donor site morbidity, while the paramedian forehead flap improved the aesthetic results. Despite the need for multiple surgical interventions, this approach showed satisfactory functional and aesthetic long-term results. |
| format | Article |
| id | doaj-art-2ddf4593253141fb91ebce67e916711e |
| institution | DOAJ |
| issn | 0970-0358 1998-376X |
| language | English |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Plastic Surgery |
| spelling | doaj-art-2ddf4593253141fb91ebce67e916711e2025-08-20T02:58:54ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X10.1055/s-0045-1809054Medial Femoral Condyle Flap for Nasal Support in Cocaine-Induced Midline DestructionPedro Alvedro-Ruiz0https://orcid.org/0009-0001-8778-2193Belén Andresen-Lorca1Iván Heredia-Alcalde2Alessandro Thione3María Dolores Pérez-del-Caz4Alberto Pérez-García5Department of Plastic and Reconstructive Surgery, University and Polytechnic Hospital La Fe, Valencia, SpainDepartment of Plastic and Reconstructive Surgery, University and Polytechnic Hospital La Fe, Valencia, SpainDepartment of Plastic and Reconstructive Surgery, University and Polytechnic Hospital La Fe, Valencia, SpainDepartment of Plastic and Reconstructive Surgery, University and Polytechnic Hospital La Fe, Valencia, SpainDepartment of Plastic and Reconstructive Surgery, University and Polytechnic Hospital La Fe, Valencia, SpainDepartment of Plastic and Reconstructive Surgery, University and Polytechnic Hospital La Fe, Valencia, SpainProlonged cocaine use can severely damage the osteocartilaginous structures of the midface region. Involvement of the nose, sinuses, and palate has been grouped into a syndrome called cocaine-induced midline destructive lesions. These lesions may resemble other necrotizing conditions, often complicating diagnosis and treatment. A complex nasal reconstruction is introduced in a 54-year-old woman with extensive midfacial destruction after 15 years of cocaine abuse. Total nasal reconstruction was performed using a medial femoral condyle free flap (MFCFF) for internal lining and bone support in combination with a paramedian forehead flap for external coverage. The MFCFF proved to be effective in recreating the anatomy of the nasal dorsum with minimal donor site morbidity, while the paramedian forehead flap improved the aesthetic results. Despite the need for multiple surgical interventions, this approach showed satisfactory functional and aesthetic long-term results.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0045-1809054medial femoral condyle flapnasal reconstructioncocaine |
| spellingShingle | Pedro Alvedro-Ruiz Belén Andresen-Lorca Iván Heredia-Alcalde Alessandro Thione María Dolores Pérez-del-Caz Alberto Pérez-García Medial Femoral Condyle Flap for Nasal Support in Cocaine-Induced Midline Destruction Indian Journal of Plastic Surgery medial femoral condyle flap nasal reconstruction cocaine |
| title | Medial Femoral Condyle Flap for Nasal Support in Cocaine-Induced Midline Destruction |
| title_full | Medial Femoral Condyle Flap for Nasal Support in Cocaine-Induced Midline Destruction |
| title_fullStr | Medial Femoral Condyle Flap for Nasal Support in Cocaine-Induced Midline Destruction |
| title_full_unstemmed | Medial Femoral Condyle Flap for Nasal Support in Cocaine-Induced Midline Destruction |
| title_short | Medial Femoral Condyle Flap for Nasal Support in Cocaine-Induced Midline Destruction |
| title_sort | medial femoral condyle flap for nasal support in cocaine induced midline destruction |
| topic | medial femoral condyle flap nasal reconstruction cocaine |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0045-1809054 |
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