Nasal reconstruction in children with the combination of nasolabial and island flaps

The reconstruction of the nose is one of the most complicated aesthetic-reconstructive procedures. The difficulty of the procedure lies is in the necessity for reconstruction not only to capture the very complicated, various shapes of the nose but also to preserve the function of the nose: to allow...

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Published inActa chirurgiae plasticae (Anglická verze) Vol. 52; no. 1; p. 3
Main Authors Sukop, A, Tvrdek, M, Duskova, M, Hýza, P, Haas, M, Bayer, J
Format Journal Article
LanguageEnglish
Published Czech Republic 2010
Subjects
Child
Female
Humans
Nose - injuries
Nose Deformities, Acquired - surgery
Rhinoplasty - methods
Surgical Flaps
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Summary:The reconstruction of the nose is one of the most complicated aesthetic-reconstructive procedures. The difficulty of the procedure lies is in the necessity for reconstruction not only to capture the very complicated, various shapes of the nose but also to preserve the function of the nose: to allow the patient to breathe through the nose. 12-year-old girl had loss injury of the part of left wing of the nostril. We used the compound nasolabial flap with a small excess to resolve the mucosal and skin defect. One year after the first operation relief of natural transition of the new wing of the nostril and cheek was created with small island flap. The reconstruction of a wing of the nostril in multistage procedures with combined nasolabial flap and island flap allowed us to perform precise modelation of the nostril wing with the natural transition to the cheek. An island flap with its scars creates the required contour of a nostril wing and prevents the collapse and flattening of the nostril wing externally.
ISSN:0001-5423