Reconstruction of a natural-appearing umbilicus using an island flap: case report.
A case of successful reconstruction of the umbilicus using a depressed scar in an 11-year-old girl with a large and rigid scar spreading around the centre of the abdominal wall is presented. The anatomical umbilicus was replaced by a large scar after a previous surgery for umbilical cord hernia. The difficulty of the conventional method compelled us to use a distant scar dimple as an island flap. In addition, the three-dimensional morphology of the umbilicus could be reproduced by rolling a spindle island flap into a cone. Postoperatively, the reconstructed umbilicus has remained deep and aesthetically well shaped.
Kakudo
Natsuko
N
Department of Plastic and Reconstructive Surgery, Kansai Medical University, 10-15 Fumizono, Moriguchi, Japan. kakudon@takii.kmu.ac.jp
Kusumoto
Kenji
K
Fujimori
Sawako
S
Shimotsuma
Ayuko
A
Ogawa
Yutaka
Y
D002648:Child; D002921:Cicatrix / Q000601:surgery; D004954:Esthetics; D005260:Female; D006554:Hernia, Umbilical / Q000601:surgery; D006801:Humans; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps; D014472:Umbilicus / Q000601:surgery*