The primary closure approach of dog bite injuries of the nose.
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.
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.
Sabrina
S
Ferreira
Luis Eugênio
LE
Ayres Quaresma
Carlos Alberto
CA
Timóteo
André Luis
AL
da Silva Fabris
Leonardo Perez
LP
Faverani
Giovanna Barbosa
GB
Francisconi
Francisley Avila
FA
Souza
Idelmo Rangel Garcia
IR
Júnior
D000818:Animals; D001733:Bites and Stings / Q000601:surgery*; D002648:Child; D004285:Dogs; D054644:Ear Auricle / Q000601:surgery; D004425:Ear Cartilage / Q000637:transplantation; D004954:Esthetics; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D055171:Nasal Cartilages / Q000293:injuries* / Q000601:surgery; D009666:Nose / Q000293:injuries*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012225:Rhinoplasty / Q000379:methods*; D017695:Soft Tissue Injuries / Q000601:surgery; D060053:Transplant Donor Site / Q000601:surgery