Surgical reconstruction of the nose by modified frontal method.

Treatment of a boy aged 10 suffering from total loss of nose by lupus. Endotracheal anaesthesia. First stage: lining of new nose and shaping of nostrils by skin flaps. Second stage: after three weeks, returning flaps to forehead. Epithelial graft from thigh to remaining raw area on forehead. Fixation of stent mould. Third stage: preparation of rib cartilage to form support for new nose.