Hospital - University of Padova, Clinic of Plastic & Reconstructive Surgery, Via N. Giustiniani 2, 35100 Padova, Italy.
J Plast Reconstr Aesthet Surg. 2012 Jan;65(1):114-7. doi: 10.1016/j.bjps.2011.06.030. Epub 2011 Jul 23.
Through and through defects of the nasal ala still remains debated challenge in plastic reconstructive surgery. We present a 36 y.o. woman who suffered by a through and through nose tip avulsion subsequently a dog bite. She refused the use of traditional auricular composite graft or the multiple stages midline forehead flap due to the secondary visible scars. We treated her with the combined use of mucoperichondrial septal flap, cartilage graft and dermal substitute Integra graft, followed by a secondary, full-thickness skin graft. We consider the Integra(®) as a useful option for the treatment of a complex trauma of the nose with through and through tip and alar avulsion when, due to scar or consent problem, it's not possible the use of other techniques.
贯穿鼻翼缺陷仍然是整形重建外科中具有争议的挑战。我们报告了一位 36 岁的女性，她因被狗咬伤而导致鼻尖完全撕裂。由于传统的耳复合组织移植或多次中线额部皮瓣会留下明显的疤痕，她拒绝使用这两种方法。我们采用鼻中隔黏膜软骨复合瓣、软骨移植物和 Integra（®）真皮替代物联合治疗，然后进行二期全厚皮片移植。我们认为，当由于疤痕或患者意愿等问题，无法使用其他技术时，Integra（®）是治疗鼻尖和鼻翼完全撕裂的复杂创伤的一种有效选择。
