Advertisement
Research Article| Volume 33, ISSUE 4, P399-403, October 1980

Columella reconstruction using internal nasal vestibular flaps

      This paper is only available as a PDF. To read, Please Download here.

      Abstract

      The importance of the columella as an aesthetic entity in the composition of the face is easily underestimated and it is only when this tiny structure is destroyed by syphilis, infection or trauma that the tissue defect becomes glaringly obvious. The difficulty of reconstruction of this subtle aesthetic keystone has stimulated many elaborate operative techniques requiring multiple stages. The successful correction of loss of the lower septum and columella with a simple one-stage procedure is the justification for this short report.

      Reference

        • Cardoso A. Duarte
        Loss of columella after Leishmaniasis. Reconstruction with subcutaneous tissue pedicle flap.
        Plastic and Reconstructive Surgery. 1958; 21: 117
        • DaSilva Georges
        A new method of reconstructing a columella with a naso-labial flap.
        Plastic and Reconstructive Surgery. 1964; 34: 63
        • Gillies H.D.
        Deformities of the syphilitic nose.
        British Medical Journal. 1923; 2: 977
        • Heanley C.
        The subcutaneous tissue pedicle flap in columella and other nasal reconstruction.
        British Journal of Plastic Surgery. 1955; 8: 60
        • Ivy R.H.
        Repair of acquired defects of the face.
        Journal of the American Medical Association. 1925; 84: 181
        • Kazanjian V.H.
        Nasal deformities of syphilitic origin.
        Plastic and Reconstructive Surgery. 1948; 3: 517
        • Paletta F.X.
        • Van Norman R.T.
        Total reconstruction of the columella.
        Plastic and Reconstructive Surgery. 1962; 30: 322
        • Smith F.
        Plastic and Reconstructive Surgery.
        in: W. B. Saunders Co., Philadelphia and London1950: 506
        • Snow J.W.
        • Harris H.W.
        One stage columellar reconstruction.
        Plastic and Reconstructive Surgery. 1968; 42: 83