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Using a V-Y Advance Flap for Alar Rim Defect After Human Bite: A Case Report
Andrea Vicente-Pardo1,2,3,4, Alberto Sanchez Garcia1,2,3,4, Miriam Alonso Carpio1,2,3,4
1Andrea Vicente-Pardo, MD, is a plastic surgeon, Plastic Surgery and Microsurgery, University and Polytechnic Hospital La Fe, Valencia, Spain.
Plastic and Aesthetic Nursing
|November 30, 2022
Summary
Human bites to the nose cause defects, with unclear optimal reconstruction timing. This case study used a V-Y flap for secondary reconstruction of a nasal alar rim defect.
Area of Science:
- Otolaryngology
- Plastic Surgery
- Trauma Surgery
Background:
- Human bites are common traumatic injuries, frequently affecting the nasal region.
- Management of nasal human bite wounds, particularly alar rim defects, lacks clear reconstructive guidelines.
- Reconstruction timing (primary vs. secondary) remains a debated topic in medical literature.
Observation:
- A 38-year-old male patient presented with a nasal alar rim defect resulting from a human bite.
- The defect was caused by an injury inflicted by the patient's roommate.
- Literature review revealed ambiguity regarding the best approach for reconstruction.
Findings:
- The patient underwent secondary reconstruction for the alar rim defect.
- A V-Y flap surgical technique was employed for the reconstruction.
- This approach addresses the reconstructive challenge in nasal human bite injuries.
Implications:
- This case highlights a potential surgical solution for nasal alar rim defects from human bites.
- The use of a V-Y flap for secondary reconstruction offers a viable option when primary closure is not feasible.
- Further research may clarify optimal timing and techniques for managing such facial trauma.
