A Patient who Underwent Reconstruction of Nasal-Alar with Auricular Helix Composite Graft and Application of bFGF

概要

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The patient was a 24–year–old male with traumatic nasal defect on the right side. We performed reconstruction of the nasal defect with a forehead flap 4 months after injury. However, the patient chose not to attend our outpatient clinic for follow up. Then the patient consulted our hospital 8 months after the reconstruction due to stricture of the nasal cavity on the right side. The length of the nasal cavity on the right side was half as long as that on left side. We performed reconstruction of the nasal–alar with an auricular helix and cartilage composite graft (20×12 mm) 9 months after the initial reconstruction. Perioperatively, we applied basic fibroblast growth factor (bFGF) in order to promote vascularization between the stump of the composite graft and the alar tissue. The composite graft took and the shape of nose was fairly good postoperatively. This outcome suggests that perioperative application bFGF to the stump of the soft tissue was a useful method to promote take of the composite graft.
日本外科系連合学会の論文