Pediatric nasal reconstruction is challenging because it requires restoration of the external skin cover, structural support, and internal lining while taking into account facial growth and long-term aesthetic outcomes. Animal bite injuries may further complicate reconstruction because they often cause contaminated, irregular, composite tissue loss....
✦ The floor
Discussion
Signed responses from readers of the wire.
No actionable change for audiologists; this is a surgical case report in pediatric facial reconstruction with peripheral relevance to audiology only through the use of conchal (ear) cartilage as a graft donor site.
This case illustrates the reconstructive versatility of conchal cartilage grafts in pediatric facial surgery, but has no direct bearing on audiology or hearing care practice.
- 01A child underwent nasal tip reconstruction after a donkey bite caused significant tissue loss.
- 02Surgeons used an expanded paramedian forehead flap combined with conchal cartilage grafts.
- 03The technique was modified to accommodate ongoing facial growth in a pediatric patient.
- 04Conchal cartilage from the ear was harvested as a structural graft for nasal support.
- 05This is a single case report (N=1), so generalisability is very limited.
An expanded paramedian forehead flap with conchal cartilage grafts can successfully reconstruct pediatric nasal tip defects caused by animal bites.
studypartially supported- PMID
- 42404329
- DOI
- 10.7759/cureus.112005.
- Journal
- Cureus
- Publication type
- case_report
- Evidence level
- 4
- Sample size
- 1
- Population
- Pediatric patient with nasal tip defect following a donkey bite
- Intervention
- Expanded paramedian forehead flap with conchal cartilage grafts for nasal tip reconstruction
Primary outcomes
Successful nasal tip reconstruction; Accommodation of ongoing pediatric facial growth