3D photography and computer modelling in nasal reconstruction.

Advances in high resolution 3D photography and computer modelling are revolutionising patient workup, surgical planning, patient satisfaction, clinical outcomes, and surgical training. We present a case in which this technology is utilised for a patient undergoing a forehead flap for reconstruction of a nasal defect, allowing us to develop a novel reconstructive algorithm. 3D photographs were taken pre-operatively, a computer model rendered and follow up photographs taken at each stage of the reconstruction using a Vectra XT camera. Patient satisfaction was measured qualitatively postoperatively. Prior to each stage we were able to use the 3D photographs to make thorough preoperative plans whilst minimising the number of outpatient appointments the patient required. With the images always at hand, we had much more time to make measurements and consider alterations. Utilising the 3D models in clinic and MDT allowed us to have more insightful outpatient appointments, in which we were able to discuss and illustrate each subsequent stage. The use of 3D photography and computer modelling allows for a greater level of care to patients by improving understanding and satisfaction and alleviating anxiety. It also reduced operative time, improves surgical planning, and acts as an excellent resource for surgical trainees and future patients.