[Reconstruction of transfixing loss of substance from the wing of the nose by composite graft of the controlateral nostril: about three cases]

Abstract

Introduction: Reconstruction of the loss of transfixing substance from the nose wing is one of the most difficult procedures in facial plastic surgery. We propose a new technique consisting of a composite graft of the controlateral nostril among patients having an asymmetry of the nostrils.

Patients and methods: A clinical study was carried out on three patients who had undergone a composite nasal graft. The graft was harvested from the nostril controlateral to the nasal defect then placed at the level of the previously prepared affected nostril.

Results: Three patients aged 27, 37 and 39years respectively received a controlateral nasal composite graft for the treatment of transfixing substance loss of the nose wing of less than 1cm. In all three cases, the result was judged to be very satisfactory by the surgeon and by all the patients.

Conclusion: The controlateral nasal composite graft is a straightforward, quick and reliable technique to treat small losses of transfixing substance from the nose wing. However, because of an uncertain cicatricial ransom of the donor site, this technique must be compared to the auricular composite graft that is the technique of reference.

Keywords: Aile du nez; Composite graft; Greffe composite; Loss of transfixing substance; Nose wing; Perte de substance transfixiante.