Horoz Ugur, Kuroki Tomoaki, Shimoyama Mami, Yoshimoto Shinya
Dr Ersin Arslan Training and Research Hospital, Plastic Reconstructive and Aesthetic Surgery Clinic, Gaziantep, Turkey.
Plastic Reconstructive and Aesthetic Surgery Department, Showa University School of Medicine, Tokyo, Japan.
J Craniofac Surg. 2018 Nov;29(8):2234-2236. doi: 10.1097/SCS.0000000000004803.
Half-nose or heminasal aplasia is an extremely rare congenital malformation, which has a withering effect both on the patient and the family. Proboscis lateralis is a rare facial anomaly resulting in the incomplete development of one side of the nose, which was first defined in 1861 by Forster in his monograph. Proboscis lateralis, cleft nose, and nasal agenesis are rare anomalies; however, half-nose is also an extremely rare condition. In the formation of half-nose deformities, either a facial cleft or nasal dysplasia is the assumed theories of embryological origin. In the reconstruction of proboscis lateralis tissue, local flaps and forehead flaps can be used for a functional and esthetically acceptable structure. The expanded forehead flap has become commonly used in recent years. Estimating the cosmetic result of surgery is an extreme challenge because of the accompanying nasal growth of the transferred tissue and the nose. In this study, the authors report on the reconstruction of half-nose and proboscis lateralis deformity with clinical results.
半鼻或半侧鼻发育不全是一种极其罕见的先天性畸形，对患者及其家庭都会产生不良影响。侧鼻鼻管畸形是一种罕见的面部异常，导致一侧鼻子发育不完全，最早于1861年由福斯特在其专著中定义。侧鼻鼻管畸形、鼻裂和鼻发育不全是罕见的异常情况；然而，半鼻也是一种极其罕见的病症。在半鼻畸形的形成过程中，面部裂隙或鼻发育异常是胚胎学起源的假定理论。在重建侧鼻鼻管畸形组织时，局部皮瓣和额部皮瓣可用于构建功能和美学上均可接受的结构。近年来，扩张额部皮瓣已被广泛应用。由于移植组织和鼻子会随着鼻腔生长，评估手术的美容效果极具挑战性。在本研究中，作者报告了半鼻和侧鼻鼻管畸形的重建及临床结果。
