Use of Naso-Melo-Labial Flap of Advancement and Rotation in Canine Bite Injury. About 1 Case.

A 40-year-old male with a past medical history of acute mental status (mixed neurosis), suffered from a canine bite (pitbull) in the nasal region. The patient is presented to the emergency room in a second-level private hospital to comence reconstructive treatment. He showed a bite of less than 2hrs of evolution, with loss of substance partially of the back, right lateral wall, ipsilateral nasal wing, with skin involvement, subcutaneous cellular tissue, right inferior and superior wing cartilage.
The wound was washed, debrided and prophylaxis was performed, followed by the planning of a combined local flap, this being an advancement and rotation nasomelolabial flap, as well as harvesting and application of autologous graft of the right atrial concha. This procedure was done in a single surgical intervention. The aesthetic and functional results were classified as favorable. The flap technique is discussed, depending on various forms of reconstruction.

Keywords:Nasogenien flap; Nasolabial flap; Frontonasal flap; Wound; Substance loss; Total skin graft; Wing of the nose; Nasal pyramid