%0 Journal Article
%T Helical root chondrocutanuous composite graft for nasal reconstruction: Two case reports
%V 10
%N 3
%P 262-264
%U http://www.odermatol.com/issue-in-html/2019-3-8-helical/
%X Traumatic loss of any aesthetic subunit of the nose poses a reconstructive challenge for the plastic surgeon. Different surgical techniques are discussed in the literature, ranging from primary closure to free flap reconstruction for complex defects. Due to their cylindrical layered morphology and peripheral location; columella and alar margin are difficult to reconstruct. The Helical root chondrocutanuous composite graft is a single-stage procedure that can be used to restore the lost part of these aesthetic subunit of the nose. We present 2 cases, the first case is about a 3 year old child with prolonged use of nasal CPAP in the NICU resulted in columellar necrosis, and the second case for a 28 year old female patient with history of a childhood post nasal trauma alar rim defect, both cases were reconstructed successfully with helical root chondrocutanous composite grafts. We provide a thorough explanation of the composite graft design and operative technique. Helical root chondrocutanuous composite graft can produce desirable aesthetic outcomes with minimal donor site morbidity and should be considered in patients presenting with traumatic or iatrogenic loss of the columella and alar margin.
%G en
%J Our Dermatology Online
%A AL-Bdour, Mohammed Nayef
%A El-Maaytah, Khalid Ali Mohammed
%D 2019-07-02