Ryu Sung Seok, Jang Yong Ju
Department of Otorhinolaryngology-Head and Neck Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
J Rhinol. 2023 Mar;30(1):37-40. doi: 10.18787/jr.2022.00426. Epub 2023 Mar 30.
A dog bite is the most common trauma among animal bites, and it has varying severity, from simple skin lacerations to defects in whole tissue layers. Considering the aesthetic and functional importance of the nose, an appropriate reconstruction should be conducted for large and full-thickness tissue defects. Although this is quite common, literature detailing surgical reconstruction is lacking, especially in domestic journals. A 45-year-old male patient visited an outpatient clinic due to nasal trauma caused by a dog bite. The patient's nose showed whole-layer tissue defects, with necrotic tissues at the periphery. Nasal reconstruction surgery was conducted using a forehead flap and ear cartilage composite graft. Pedicle division was conducted three weeks after primary surgery. The functional and aesthetic outcomes of the surgery were satisfactory. Our experience demonstrates that the forehead flap is a useful option for reconstructing a nose badly injured by a dog bite.
犬咬伤是动物咬伤中最常见的创伤，其严重程度各不相同，从简单的皮肤撕裂伤到全层组织缺损。考虑到鼻子在美学和功能上的重要性，对于大面积全层组织缺损应进行适当的重建。虽然这种情况很常见，但详细介绍手术重建的文献却很缺乏，尤其是在国内期刊中。一名45岁男性患者因犬咬伤导致鼻外伤前来门诊就诊。患者的鼻子呈现全层组织缺损，周边有坏死组织。采用额部皮瓣和耳软骨复合移植进行鼻重建手术。一期手术后三周进行蒂部切断。手术的功能和美学效果令人满意。我们的经验表明，额部皮瓣是重建因犬咬伤而严重受损鼻子的一种有用选择。
