Suitable age for nasal reconstruction after subtotal amputation in a child, with respect to a case involving purpura fulminans

Pediatric nasal reconstruction with frontal flap: a case report

“…8 To date there are few studies in this regard, Giugliano C et al, reported 6 cases of nasal reconstruction with frontal flap in children aged between 2 and 5 years, where there are few complications with the exception of moderate nostril stenosis in two patients, their aesthetic and functional results were considered good by the surgeon and the patients, demonstrating that the flap has a joint growth with the patient. [9][10][11] The patient had an adequate growth, this attributable to adequate vascular supply. The most feared long-term complication was a contracture of the flap with an inadequate growth in relation to the rest of the nose, however, that development was satisfactory.…”

Uncommon Location of Purpura Fulminans: Case Report and Literature Review

“…In reviewing the literature, there are very few cases of purpura fulminans that occur over the nose. All of them are summarized in Table 2 [2][3][4][5][6][7][8]. A case of purpura fulminans that occurred over the nose was first described in 1986 [2].…”

“…In 1989, Har-El et al [3] described a case of purpura fulminans of the head and neck secondary to pneumococcal sepsis in a splenectomized patient. In 2006, Duteille et al [4] reported a case of a 5-year-old boy who underwent subtotal amputation of the nose after meningococcus-induced purpura fulminans. Urushidate et al [5] performed nose and upper lip reconstruction on a 48-year-old male patient, following left cerebellopontine angle tumor excision, who suffered from purpura fulminans after sepsis due to Klebsiella pneumoniae.…”

Assessment of subtotal nasal reconstruction in a child after 6 years of follow-up

“…The choice of therapeutic strategy for nasal reconstruction in the child remains highly controversial [1][2][3][4][5], particularly with respect to the optimal age for performing the procedure. The critical point is whether early or late reconstruction is the better therapeutic choice.…”

“…Skin spreading allowed direct closure of the donor zone. During the third operating phase, 3 weeks later, debulking and flap remodeling were performed [2].…”