Abstract

These meetings were held at the Marriott Desert Springs, Palm Desert, Calif, on April 30 and May 1, 1995. Presenting five illustrative cases, Jacqueline Jones, MD , and collaborators, New York, NY, described three forms of congenital bony stenosis of the nose. On computed tomography, the obstruction may be in the classic posterior choana, at the pyriform aperture, or in the nasal cavity. The authors present evidence that each form has a different embryologic origin and detail the physical differentiation as well as proposed treatment. To expect a cosmetically acceptable outcome of total reconstruction of the nose, all three elements—skin, structural support, and internal mucosal lining—must be replaced. The report by Dana Thompson, MD , Rochester, Minn, and colleagues from Scottsdale, Ariz, and Portland, Ore, adds to the common midforehead flap and calvarial bone graft a lining with a peritoneal free flap. This unique tissue supported the ingrowth of ciliated respiratory mucosa

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