Director, Johns Hopkins Burn Center, Associate Professor of Clinical Plastic and Reconstructive Surgery, Baltimore, USA
Presentation:
Overcoming difficult nasal reconstructive challenges from burn and blast injuries
Due to a relatively high incidence of burns and gunshot injuries in the US, we have developed significant experience with reconstructive challenges in partial and total nasal loss in this population. These mechanisms create unique challenges in nasal reconstruction due to two main factors:
- the sclerosis and contracture in surrounding surviving tissues
- loss of local options due to wide surrounding injury that is common from blast and burn.
The combination of these two can produce nasal airway stenosis with limited local options. Through a series of cases we will review strategies in nasal reconstruction from local options through free tissue transfer as well as the benefits of alloplastic reconstruction with systems such as the AHEAD system.
CV:
Dr. Fisher is an associate professor of plastic surgery in the Johns Hopkins Department of Plastic Surgery. His areas of clinical expertise include burn surgery, burn reconstruction, craniofacial surgery, and reconstructive microsurgery.He serves as the Director of the Johns Hopkins Bayview Adult Burn Center.Committed to acute and reconstructive burn care of the highest quality, Dr. Fisher completed extensive training at multiple leading centers. These included a Burn Fellowship at the Shriners Hospital for Burns in Galveston, a Plastic Surgery Residency at Duke University, a Craniofacial Fellowship at the Hospital for Sick Children in Toronto, and a research fellowship at Harvard.Throughout his career Dr. Fisher has brought the full breadth and depth of his training to care for patients with the most complex injuries and deformities.From 2014 to 2022 he was on the faculty of the University of Iowa where he served in the burn unit, led the craniofacial team, and served the hand trauma team. Recognizing that complex injuries need coordinated care, he developed the Complex Face Group at Iowa to coordinate multiple specialty collaboration.