Volume 14, Pages (December 2017)

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Volume 14, Pages 16-22 (December 2017) Immediate nasal reconstruction with a forehead flap in a 2.5-year-old girl following Pseudomonas aeruginosa-induced necrotising fasciitis – A case report and literature review Sheikhan Nasser Al-Hashmi, Arun Sethu, Said Saud Al-Busaidi, Maimuna Nelofer JPRAS Open Volume 14, Pages 16-22 (December 2017) DOI: 10.1016/j.jpra.2017.08.002 Copyright © 2017 The Author(s) Terms and Conditions

Figure 1 Dusky-violaceous discoloration, erythema, blistering and central area of necrosis. JPRAS Open 2017 14, 16-22DOI: (10.1016/j.jpra.2017.08.002) Copyright © 2017 The Author(s) Terms and Conditions

Figure 2 The extent and depth of the defect after the first debridement. Part of the affected alar base left in place for orientation. JPRAS Open 2017 14, 16-22DOI: (10.1016/j.jpra.2017.08.002) Copyright © 2017 The Author(s) Terms and Conditions

Figure 3 Contralateral paramedian forehead flap based on the right supratrochlear vessels. JPRAS Open 2017 14, 16-22DOI: (10.1016/j.jpra.2017.08.002) Copyright © 2017 The Author(s) Terms and Conditions

Figure 4 Alar and side wall post reconstruction with staged paramedian forehead flap. Nasal retainer in place. JPRAS Open 2017 14, 16-22DOI: (10.1016/j.jpra.2017.08.002) Copyright © 2017 The Author(s) Terms and Conditions

Figure 5 A. Necrotic fibroadipose tissue, B. Necrotic skeletal muscle bundles, C. Acute and chronic inflammatory cell infiltrate. JPRAS Open 2017 14, 16-22DOI: (10.1016/j.jpra.2017.08.002) Copyright © 2017 The Author(s) Terms and Conditions