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Repair of proboscis lateralis
Kemal Uğurlu1, Semra Karşidag, Derya Ozçelik
1Department of Plastic and Reconstructive Surgery, Sisli Etfal Research and Education Hospital, Istanbul, Turkey.
Summary
A rare congenital condition involving nasal proboscis, heminasal hypoplasia, and hypertelorism in an 8-year-old girl was successfully treated. Surgical reconstruction of the heminose using a V-Y advancement flap restored facial symmetry and function.
Area of Science:
- Plastic Surgery
- Craniofacial Surgery
- Pediatric Surgery
Background:
- Congenital nasal anomalies present unique challenges in pediatric plastic surgery.
- Heminose reconstruction requires precise surgical techniques to restore form and function.
- Combined craniofacial deformities necessitate a multidisciplinary approach.
Observation:
- An 8-year-old girl presented with a nasal proboscis, right heminasal hypoplasia, hypertelorism, and cleft lip and palate.
- The patient exhibited complex facial asymmetry requiring staged surgical intervention.
- The nasal proboscis was located on the right nasal nostril.
Findings:
- Surgical repair of the cleft lip and palate and hypertelorism was performed.
- A V-Y advancement flap was utilized for the reconstruction of the right heminose.
- The proboscis tube was incorporated into the V-Y advancement flap during reconstruction.
Implications:
- Successful heminose reconstruction with a V-Y advancement flap demonstrates a viable surgical option for complex nasal deformities.
- This case highlights the importance of tailored surgical strategies for congenital craniofacial anomalies.
- Restoration of nasal symmetry and function can significantly improve patient quality of life.