phenylephrine-hydrochloride and Crush-Syndrome

This paper describes the use of a composite graft from the mastoid area consisting of full-thickness skin peripherally and selectively localised fascia-fat tissue underneath the skin centrally for immediate reconstruction of moderate defects of the nasal tip including the columella and soft triangle. Mastoid composite grafting is a simple and safe procedure that avoids partial graft loss and provides adequate augmentation of soft tissue, easy reshaping of the new nostril rim, minimal post-operative shrinkage, and no donor-site morbidity. Then, it results in a satisfactory nasal appearance with adequate tip projection and symmetry. This procedure may represent a preferred method of nasal tip reconstruction.

Topics: Accidental Falls; Accidents, Traffic; Adult; Aged, 80 and over; Crush Syndrome; Debridement; Facial Injuries; Female; Humans; Male; Mastoid; Nose; Nose Deformities, Acquired; Rhinoplasty; Surgical Flaps; Suture Techniques