Revista de Ciencias Médicas de Pinar del Río (Sep 2017)
Reconstruction with fronto-nasal flap in human bite
Abstract
Introduction: for many centuries the face has represented the main focus of appearance. The middle facial third, which includes the nose, lower eyelids and the mid-corner area, is the most important area of the face and is therefore extremely vulnerable to posttraumatic facial deformities. Clinical case: a 44-year-old male patient with no known medical history, consults with the Emergency Department of the Dr. Leon Cuervo Rubio Hospital of Pinar del Río for human bite after aggression, resulting in loss of the right nasal wing, with cartilage involvement and without any treatment. We present clinical aspects related to this case, as well as the type of surgical treatment used for it. Conclusions: the frontal flap is considered a first-line reconstructive option in the treatment of extensive cutaneous nasal defects. Using tissues with similar characteristics of texture and color allows to offer a wide skin coverage, which makes the fronto-nasal flap especially useful in repairing the nasal wing lost by accident or tumor cause.
