Nasal reconstruction in children with the combination of nasolabial and island flaps.
BACKGROUND
The reconstruction of the nose is one of the most complicated aesthetic-reconstructive procedures. The difficulty of the procedure lies is in the necessity for reconstruction not only to capture the very complicated, various shapes of the nose but also to preserve the function of the nose: to allow the patient to breathe through the nose.


METHODS
12-year-old girl had loss injury of the part of left wing of the nostril. We used the compound nasolabial flap with a small excess to resolve the mucosal and skin defect. One year after the first operation relief of natural transition of the new wing of the nostril and cheek was created with small island flap.


CONCLUSIONS
The reconstruction of a wing of the nostril in multistage procedures with combined nasolabial flap and island flap allowed us to perform precise modelation of the nostril wing with the natural transition to the cheek. An island flap with its scars creates the required contour of a nostril wing and prevents the collapse and flattening of the nostril wing externally.
Department of Plastic Surgery, University Hospital Královské Vinohrady, Charles University Prague, 3rd Faculty of Medicine, Prague. andrej.sukop@centrum.cz
A
A
Sukop
M
M
Tvrdek
M
M
Duskova
P
P
Hýza
M
M
Haas
J
J
Bayer
D002648:Child; D005260:Female; D006801:Humans; D009666:Nose / Q000293:injuries*; D009667:Nose Deformities, Acquired / Q000601:surgery*; D012225:Rhinoplasty / Q000379:methods*; D013524:Surgical Flaps