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. 2012 Oct-Dec;5(Spec Issue):113–122.

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©Carol Davila University Press

This article is distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0/), which permits unrestricted use and redistribution provided that the original author and source are credited.

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Fig. 4 — DV, 55 years old, Sibiu. Destruction of the nasal pyramid due to squamous cell carcinoma, which appeared after prolonged exposure to high temperature while working on the construction site in the Middle East. After a failed attempt of flap reconstruction in the Department of Plastic Surgery in Bucharest, a silicone nasal epithesis was made and fixed over the existing flap with adhesive. But the disease had a fulminate evolution with the invasion of sinuses, orbits, eyes, with brain metastases followed by the patient’s death after categorical refusal of surgical re-intervention or any other treatment.