The surgical repair of half-nose

Summary Absence of half-nose is an extremely rare congenital malformation, which has a devastating impact on the patient and the family. A review of indexed English-language literature found 91 cases of half-nose, including 50 patients with proboscis lateralis. Pathogenesis is not clear, and the rep...

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Bibliographic Details
Published in:Journal of plastic, reconstructive & aesthetic surgery reconstructive & aesthetic surgery, 2010-01, Vol.63 (1), p.15-21
Main Authors: da Silva Freitas, Renato, Alonso, Nivaldo, de Freitas Azzolini, Thais, Busato, Luciano, Dall'Oglio Tolazzi, André Ricardo, Azor de Oliveira e Cruz, Gilvani, Goldenberg, Dov
Format: Article
Language:English
Subjects:
Adolescent
Biological and medical sciences
Child
Child, Preschool
Ear Cartilage - transplantation
Facial cleft
Female
Half-nose
Heminasal aplasia
Humans
Male
Medical sciences
Nasal reconstruction
Nose
Nose - abnormalities
Nose - surgery
Plastic Surgery
Rhinoplasty - methods
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgical Flaps
Treatment Outcome
Young Adult
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Summary:Summary Absence of half-nose is an extremely rare congenital malformation, which has a devastating impact on the patient and the family. A review of indexed English-language literature found 91 cases of half-nose, including 50 patients with proboscis lateralis. Pathogenesis is not clear, and the reported cases have sporadically occurred. Many aspects must be considered when reconstructing a congenital half-nose, such as timing of surgery, type of tissue to be used and the need to reconstruct nasal airway. The aim of this article is to present personal experience in seven cases of half-nose reconstruction, in order to review the literature regarding to this rare entity, highlighting aspects of incidence, pathogenesis and surgical treatment. Nasal reconstruction was performed at ages of 5–7 years to minimise psychological trauma. Forehead skin demonstrated to be an excellent donor site to re-surface the nose. For the inner lining, contralateral cutaneous nasal flap was our preference. Concerning the nasal framework reconstruction, alar contour was restored using a cartilage graft from the lower portion of ear tragus and concha.
ISSN:1748-6815
1878-0539
DOI:10.1016/j.bjps.2008.08.040