Citation

Ferreira S, Ayres Quaresma LE, Timóteo CA, da Silva Fabris AL, Faverani LP, Francisconi GB, Souza FA, Júnior IR. J. Craniofac. Surg. 2014; 25(3): e216-8.

Affiliation

From the *Division of Surgery and Traumatology Bucco-Maxillo-Facial, Department of Surgery and General Clinic, Araçatuba Dental School, Univ Estadual Paulista Júlio de Mesquita Filho-UNESP; and †Santa Casa de Misericórdia, Araçatuba, São Paulo, Brazil.

Copyright

(Copyright © 2014, Lippincott Williams and Wilkins)

DOI

10.1097/SCS.0000000000000553

PMID

24777007

Abstract

The nose holds an outstanding position on the face, acquiring great importance within the context of facial aesthetics. Because of the functional, psychological, and social aspects of trauma in a society increasingly demanding about aesthetics, treatment institution must reduce, as accurate as possible, the sequelae that hinder social integration. This clinical report relates an immediate nasal reconstruction of a complex animal bite wound. A 7-year-old patient was victim of a dog bite with avulsion of the left nasal ala and part of the ipsilateral nasal tip. The treatment was immediate nasal reconstruction with auricular composite graft. After 1 year of follow-up, the shape of nasal ala was stable, and the color was consistent with the surrounding tissue. The 2 nasal sides exhibited satisfactory symmetry when evaluated. It can be concluded that the composite graft derived from the auricular helix is a safe option for reconstruction of nasal ala defects with compromised margins in pediatric patients when conditions of reimplantation do not exist.

Language: en