흡수성 판의 잔여물: 지속적인 비첨 감염 및 변형의 드문 원인
An Infected Absorbable Plate: A Rare Source of Persistent Tip Infection and Deformity
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Neglecting timely and appropriate management of foreign body-related infections can lead tosignificant changes in the skin and soft tissue. We present here a case of a 28-year-old femalewith persistent discharge from a defective nasal tip and a columellar wound. She had previously undergone silicone dorsal augmentation and tip plasty with ear cartilage, followed byimplant removal and wound irrigation due to infection. Despite silicone removal, the infectionpersisted, resulting in severe tip and columellar defects. We managed the infection by removing substantial absorbable plate debris and suture material from the caudal septum and tip. Subsequent framework reconstruction using rib cartilage and a forehead flap successfully restored the normal shape of the nose. This case highlights that an absorbable plate can act as aforeign body harboring infection, warranting thorough exploration and removal of remainingdebris.
Abstract
Neglecting timely and appropriate management of foreign body-related infections can lead tosignificant changes in the skin and soft tissue. We present here a case of a 28-year-old femalewith persistent discharge from a defective nasal tip and a columellar wound. She had previously undergone silicone dorsal augmentation and tip plasty with ear cartilage, followed byimplant removal and wound irrigation due to infection. Despite silicone removal, the infectionpersisted, resulting in severe tip and columellar defects. We managed the infection by removing substantial absorbable plate debris and suture material from the caudal septum and tip. Subsequent framework reconstruction using rib cartilage and a forehead flap successfully restored the normal shape of the nose. This case highlights that an absorbable plate can act as aforeign body harboring infection, warranting thorough exploration and removal of remainingdebris.