Delayed Reconstruction of Nasal Tip Amputation after a Dog Bite Using a Cartilage Graft and Paramedian Forehead Flap
- 주제(키워드) acquired nasal deformity , amputation stump , bites , forehead flap
- 등재 SCIE, SCOPUS
- 발행기관 Lippincott Williams and Wilkins
- 발행년도 2023
- 총서유형 Journal
- URI http://www.dcollection.net/handler/ewha/000000209703
- 본문언어 영어
- Published As https://doi.org/10.1097/SCS.0000000000009354
- PubMed 37220655
초록/요약
The timing and method of reconstruction of an amputated nose due to a dog bite are still controversial. Here, we describe a delayed reconstruction using the paramedian forehead flap with a simultaneous cartilage graft to address a contracted nose from a dog bite. A healthy, 52-year-old patient was attacked by his acquaintance's dog, resulting nasal tip amputation that included cartilage. The composite graft was performed, and secondary healing resulted in a short nose deformity. Five months after the injury, a conchal cartilage graft and paramedian forehead flap were performed simultaneously to correct the shape of the deformity. At 1 year postoperatively, the flap survived without complications, and the short nose deformity was successfully corrected. In summary, immediate composite graft after a dog bite could result in a contracted nose, but the deformity can be corrected by a simultaneous paramedian forehead flap and cartilage graft. © 2023 Lippincott Williams and Wilkins. All rights reserved.
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