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Delayed Reconstruction of Nasal Tip Amputation after a Dog Bite Using a Cartilage Graft and Paramedian Forehead Flap
- Title
- Delayed Reconstruction of Nasal Tip Amputation after a Dog Bite Using a Cartilage Graft and Paramedian Forehead Flap
- Authors
- Lee M.K.; Woo K.-J.
- Ewha Authors
- 우경제
- SCOPUS Author ID
- 우경제
- Issue Date
- 2023
- Journal Title
- Journal of Craniofacial Surgery
- ISSN
- 1049-2275
- Citation
- Journal of Craniofacial Surgery vol. 34, no. 5, pp. E488 - E490
- Keywords
- acquired nasal deformity; amputation stump; bites; forehead flap
- Publisher
- Lippincott Williams and Wilkins
- Indexed
- SCIE; SCOPUS
- Document Type
- Article
- Abstract
- 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.
- DOI
- 10.1097/SCS.0000000000009354
- Appears in Collections:
- 의과대학 > 의학과 > Journal papers
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