Achieving natural shading of the nostril in the reconstruction of a half nose.
The secondary deformities in a patient who had a half nose that had been reconstructed in childhood using a median forehead flap and the corrective procedures subsequently employed are described. The secondary deformities included elevation of the right alar rim and a completely visible nasal floor. These deformities were corrected with a scalping forehead flap and by changing the orientation of the reconstructed right nostril and nasal cavity. Nasal airway reconstruction may not always be needed, particularly in a congenital half nose such as described here. Instead, the aesthetic importance of the orientation of the reconstructed nasal cavity in order to obtain a normal shaded appearance in the nostril is emphasised.
Nagase
T
T
Department of Plastic and Reconstructive Surgery, Tokyo Metropolitan Police Hospital, Japan.
Kobayashi
S
S
Ohmori
K
K
D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D009666:Nose / Q000002:abnormalities*; D012086:Reoperation / Q000379:methods; D012225:Rhinoplasty / Q000379:methods*; D013524:Surgical Flaps