Rambam Drs 311.
(photo credit: Piotr Flitr)
A man in his 30s whose nose was intentionally severed – apparently as part of an
organized-crime dispute – has had it restored, and after the experience now
promises to “be good.”
The rare case of intentional disfigurement
occurred about two months ago in the north, where Haifa’s Rambam Medical Center
first treated infections on his face and then carried out the plastic surgery
procedure with considerable success.
Doctors said his nose appeared to
have been bitten.
Rambam reported on Sunday that the surgery required the
partial detachment and then removal of a flap of skin from his forehead that was
used to reattach the nose.
According to the man’s doctors, major nose
surgery is sometimes carried out to restore the appearance of people who
suffered malignant tumors, burns or congenital defects, but restoring a nose
that was deliberately chopped or bitten off – a common practice of punishment in
Europe in the 15th century – is almost unheard of. The Mafia-like dispute has
apparently being going on for a few years.
The victim was in Rambam for
several weeks for treatment and plastic surgery, and he has been home recovering
for a few weeks. Checkups have shown that the operation produced an aesthetic
appearance that, said the young man, “makes me look almost as I did before the
The man, identified only as B., also had fractures around his
face, and was in great pain and his consciousness was fuzzy when he arrived in
the emergency room. He said he had been ambushed by criminals he
“They had been looking for me for some time,” he said a few days
ago. “This kind of attack is called Red Riding Hood.”
The nose was
restored under local rather than general anesthesia, which reduced the surgical
time from two and a half hours to just an hour. In the first stage, plastic
surgeons dislodged most of the flap from the forehead near the eyebrows and then
pulled it towards the nasal region to cover what was missing. In a few weeks,
the damaged blood vessels still attached to the forehead area grew back into the
nose and were detached so they could supply blood to the nose. Further plastic
surgery may be needed to finish the aesthetic work, said Dr. Yitzhak Ramon, a
senior Rambam plastic surgeon.
Ramon said the forehead flap technique is
usually used to repair the face of those who have tumors there that had to be
removed or a burn or accident, which are also rare. “B. will look normal with
only a tiny scar on his forehead,” the surgeon added.
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