A rare case of a folded nasolabial flap for a full-thickness alar defect due to trigeminal trophic syndrome after herpes zoster infection
A 51-year-old man was referred for a skin defect with paresthesia and decreased pain in his right ala. He had a history of herpes zoster infection 3 weeks previously. Excisional biopsy and culture showed no evidence of skin malignancy or infection. He was diagnosed with trigeminal trophic syndrome (...
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| Format: | Article |
| Language: | English |
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Korean Society for Aesthetic Plastic Surgery
2022-04-01
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| Series: | Archives of Aesthetic Plastic Surgery |
| Subjects: | |
| Online Access: | http://e-aaps.org/upload/pdf/aaps-2021-00185.pdf |
| _version_ | 1818499445884452864 |
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| author | Hyeong Rae Ryu Da Woon Lee Jun Hyuk Kim Hwan Jun Choi |
| author_facet | Hyeong Rae Ryu Da Woon Lee Jun Hyuk Kim Hwan Jun Choi |
| author_sort | Hyeong Rae Ryu |
| collection | DOAJ |
| description | A 51-year-old man was referred for a skin defect with paresthesia and decreased pain in his right ala. He had a history of herpes zoster infection 3 weeks previously. Excisional biopsy and culture showed no evidence of skin malignancy or infection. He was diagnosed with trigeminal trophic syndrome (TTS) after herpes zoster infection. A two-stage folded nasolabial flap was used to reconstruct the defect. The patient was satisfied with the cosmetic outcomes of surgery, and there was no evidence of recurrence during the follow-up. TTS, a rare skin condition that presents with paresthesia, anesthesia, and facial ulceration, occurs after trigeminal nerve injury, which can be caused by herpes zoster infection in rare cases. TTS is an often-persistent condition with a high recurrence rate, causing cosmetic problems. Some surgical methods have been attempted, but our case presents the first use of a folded nasolabial flap to treat TTS. The flap was symmetric, without any nostril collapse. It is also noteworthy that the outcome was excellent with only a skin flap that did not use a bony framework. Herein, we report a rare case of TTS that occurred after herpes zoster infection and was successfully treated with a folded nasolabial flap. |
| first_indexed | 2024-12-10T20:29:35Z |
| format | Article |
| id | doaj.art-185eb67e1fe54575936ea8d01a0e01a4 |
| institution | Directory Open Access Journal |
| issn | 2234-0831 2288-9337 |
| language | English |
| last_indexed | 2024-12-10T20:29:35Z |
| publishDate | 2022-04-01 |
| publisher | Korean Society for Aesthetic Plastic Surgery |
| record_format | Article |
| series | Archives of Aesthetic Plastic Surgery |
| spelling | doaj.art-185eb67e1fe54575936ea8d01a0e01a42022-12-22T01:34:44ZengKorean Society for Aesthetic Plastic SurgeryArchives of Aesthetic Plastic Surgery2234-08312288-93372022-04-01282717410.14730/aaps.2021.00185764A rare case of a folded nasolabial flap for a full-thickness alar defect due to trigeminal trophic syndrome after herpes zoster infectionHyeong Rae Ryu0Da Woon Lee1Jun Hyuk Kim2Hwan Jun Choi3 Department of Plastic and Reconstructive Surgery, Soonchunhyang University College of Medicine, Cheonan, Korea Department of Plastic and Reconstructive Surgery, Soonchunhyang University College of Medicine, Cheonan, Korea Department of Plastic and Reconstructive Surgery, Soonchunhyang University College of Medicine, Cheonan, Korea Department of Plastic and Reconstructive Surgery, Soonchunhyang University College of Medicine, Cheonan, KoreaA 51-year-old man was referred for a skin defect with paresthesia and decreased pain in his right ala. He had a history of herpes zoster infection 3 weeks previously. Excisional biopsy and culture showed no evidence of skin malignancy or infection. He was diagnosed with trigeminal trophic syndrome (TTS) after herpes zoster infection. A two-stage folded nasolabial flap was used to reconstruct the defect. The patient was satisfied with the cosmetic outcomes of surgery, and there was no evidence of recurrence during the follow-up. TTS, a rare skin condition that presents with paresthesia, anesthesia, and facial ulceration, occurs after trigeminal nerve injury, which can be caused by herpes zoster infection in rare cases. TTS is an often-persistent condition with a high recurrence rate, causing cosmetic problems. Some surgical methods have been attempted, but our case presents the first use of a folded nasolabial flap to treat TTS. The flap was symmetric, without any nostril collapse. It is also noteworthy that the outcome was excellent with only a skin flap that did not use a bony framework. Herein, we report a rare case of TTS that occurred after herpes zoster infection and was successfully treated with a folded nasolabial flap.http://e-aaps.org/upload/pdf/aaps-2021-00185.pdfherpes zosternasolabial foldtrigeminal nervecase reports |
| spellingShingle | Hyeong Rae Ryu Da Woon Lee Jun Hyuk Kim Hwan Jun Choi A rare case of a folded nasolabial flap for a full-thickness alar defect due to trigeminal trophic syndrome after herpes zoster infection Archives of Aesthetic Plastic Surgery herpes zoster nasolabial fold trigeminal nerve case reports |
| title | A rare case of a folded nasolabial flap for a full-thickness alar defect due to trigeminal trophic syndrome after herpes zoster infection |
| title_full | A rare case of a folded nasolabial flap for a full-thickness alar defect due to trigeminal trophic syndrome after herpes zoster infection |
| title_fullStr | A rare case of a folded nasolabial flap for a full-thickness alar defect due to trigeminal trophic syndrome after herpes zoster infection |
| title_full_unstemmed | A rare case of a folded nasolabial flap for a full-thickness alar defect due to trigeminal trophic syndrome after herpes zoster infection |
| title_short | A rare case of a folded nasolabial flap for a full-thickness alar defect due to trigeminal trophic syndrome after herpes zoster infection |
| title_sort | rare case of a folded nasolabial flap for a full thickness alar defect due to trigeminal trophic syndrome after herpes zoster infection |
| topic | herpes zoster nasolabial fold trigeminal nerve case reports |
| url | http://e-aaps.org/upload/pdf/aaps-2021-00185.pdf |
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