title: Reconstruction of a natural-appearing umbilicus using an island flap: case report.
abstract: 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.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Kansai Medical University, 10-15 Fumizono, Moriguchi, Japan. kakudon@takii.kmu.ac.jp
authors.forename: Natsuko
authors.initials: N
authors.lastname: Kakudo
authors.forename: Kenji
authors.initials: K
authors.lastname: Kusumoto
authors.forename: Sawako
authors.initials: S
authors.lastname: Fujimori
authors.forename: Ayuko
authors.initials: A
authors.lastname: Shimotsuma
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Ogawa
mesh_terms: 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*