Summary
A child born in 1948 with rare multiple deformities first underwent operative correction of polysyndactyly of both hands at the age of 6 years. Before the beginning of puberty, treatment of the microcheilia and microrhinia was initiated. Multiple operations to lengthen the columella and the lateral nasal walls with rib- and auricular cartilage grafts, composite skincartilage grafts and skin flaps supported by cartilage grafts were necessary to obtain an harmonious aspect of the nose and the upper lip. Operative treatment of the other deformities was undertaken in the meantime.
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References
Schmid, E.: Über den plastischen Aufbau und das spätere Größenwachstum eines angeborenen kindlichen Nasendefekts. J. Intern. Coll. Surg. 30, 679 (1958)
Schmid, E.: The nose: The “mini-flap”. In: Regional flaps of the head and neck. Ed.: J. Conley, Stuttgart: Thieme 1976
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Schmid, E. A rare case of congenital nasal and upper lip deficiency associated with multiple other malformations. Chir Plastica 5, 55–60 (1979). https://doi.org/10.1007/BF00289056
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DOI: https://doi.org/10.1007/BF00289056