Esthetic reconstruction ranges among the most demanding tasks in cosmetic surgery.

Better esthetic results can be reached by carrying out several surgical procedures in succession. However, sometimes a satisfactory result may be accomplished only by means of amputation and subsequent reconstruction of the severely broken nose.. 7 years with out a nose Patients whose nose has been destroyed by a tumor or damage carry a severe psychological and social burden. Esthetic reconstruction ranges among the most demanding tasks in cosmetic surgery. Related StoriesDiscovery can lead to new anti-metastasis therapies for advanced-stage brain cancer patientsCWRU investigator receives $2.82 million NIH grant to create stealth bombs for brain cancer treatmentSRS microscope technology gives surgeons real-time microscopic vision of brain tumorsThe authors present the case of a female who had experienced a tumor removed from the tip of her nose 12 years previously.Previous research shows that the majority of older individuals are disabled within the last yr of life.4,5 Much less is known, however, about the trajectories of disability by the end of life. We conducted a report to recognize clinically distinct trajectories of disability in the last season of life also to determine whether and the way the distribution of these trajectories differs according to the condition leading to death. We postulated that for every condition there will be substantial heterogeneity in the disability trajectories at the end of existence. To accomplish our goals, we used data from a longitudinal research that included monthly assessments of disability for more than 10 years in a big cohort of older individuals.