The apex, right and left alae, lower half of dorsum of nose
, and septal cartilages were absent.
In case of First son, it revealed annular papules, annular plaques with central clearing and raised peripheral edge of different sizes varying from 2mm to 20 mm over dorsum of nose
and ala nasi, distributed bilateral symmetrically (Figures 2 and 3).
Advantages of open approach is that it offers an excellent exposure of dorsum of nose
and allows the surgeon to see directly what he is sculpturing, graft lies away from the incision site and hence risk of extrusion is avoided.
Majority of the patients rated the dorsum of nose deformity as mild and no patients perceived nasal apertures deformity as severe.
All patients reported good outcome on nasal tip projection and excellent result for dorsum of nose. The improvement to nasal apertures was unremarkable in 6 patients with 10 others experiencing satisfactory to good outcomes.
Complications occur when maggots eat away the tissues creating submucosal tunnels in nose, nasopharynx, posterior pharyngeal wall, medial orbital plate, rarely dorsum of nose
and may produce palatal perforation.