Accessory columellas: A case series on surgical method and short-term postoperative course

Published:August 23, 2022DOI:



      Accessory columellas are rare congenital anomalies characterized by skin appendage in the columella of the nostril. Case reports are scattered, but there are few descriptions about the clinical features and surgical course.


      In this study, 3 patients with 4 lesions were identified (2013-2020). They were morphologically classified, and the accompanying nose deformity, surgical procedure, and postoperative course were examined.


      According to the morphologic classification, 1 lesion was of the sessile-lobed type, 2 lesions were of the sessile-nodular type, and 1 lesion was of the pedunculated-ovoid type. In terms of accompanying nose deformities, 1 lesion had a wide nasal columella, and 1 lesion had an enlarged left nostril due to a depression at the base of the lesion. Simple ablations were performed in 2 of the lesions, and plastic procedures were performed in the 2 lesions with an accompanying nose deformity.


      As in our cases, accessory columellas may have a variety of appearances and accompanying deformities. The surgical procedure must be considered according to the case. In addition, any changes due to growth must be observed and taken into consideration when they are reoperated.


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        • Lee YK
        • Chung YH
        • Burm JS.
        A congenital accessory skin appendage of the nasal columella and nostril sill: a rare anatomical variation.
        Surg Radiol Anat. 2018; 40: 923-926
        • Hwang J
        • Cho J
        • Burm JS.
        Accessory auricle: classification according to location, protrusion pattern and body shape.
        Arch Plast Surg. 2018; 45: 411-417
        • Agha RA
        • Sohrabi C
        • Mathew G
        • et al.
        The process 2020 guideline: updating consensus preferred reporting Of CasESeries in surgery (PROCESS) guidelines.
        Int J Surg. 2020; 84: 231-235
        • Grabb WC.
        The first and second branchial arch syndrome.
        Plast Reconstr Surg. 1965; 6: 485-508
        • Sharma LK.
        Median cleft of the upper lip.
        Plast Reconstr Surg. 1974; 53: 155-157
        • Lewin ML.
        Median cleft lip with pedunculated skin masses.
        Plast Reconstr Surg. 1987; 79: 843-844
        • Scrimshaw GC.
        Previous reports on median cleft lip.
        Plast Reconstr Surg. 1986; 77: 159-160
        • Nakamura J
        • Tomonari H
        • Goto S.
        True median cleft of the upper lip associated with three pedunculated club-shaped skin masses.
        Plast Reconstr Surg. 1985; 75: 727-731
        • DeMyer W.
        The median cleft face syndrome. Differential diagnosis of cranium bifidum occultum, hypertelorism, and median cleft nose, lip, and palate.
        Neurology. 1967; 17: 961-971
        • Ohsaki M
        • Iwahira Y
        • Maruyama Y.
        Pedunculated club-shaped swelling in the nostril.
        Plast Reconstr Surg. 1992; 89: 128-130
        • Coban YK
        • Boran C
        • Omeroglu SA
        • Okur E.
        Pai syndrome: an adult patient with bifid nose and frontal hairline marker.
        Cleft Palate Craniofac J. 2003; 40: 325-328
        • Pai GS
        • Levkoff AH
        • Jr Leithiser RE
        Median cleft of the upper lip associated with lipomas of the central nervous system and cutaneous polyps.
        Am J Med Genet. 1987; 26: 921-924
        • Ponniah RD.
        Midline cleft lip with associated abnormalities.
        J Laryngol Otol. 1977; 91: 177-181
        • Reardon W
        • Jones B
        • Baraitser M.
        Median clefting of the upper lip associated with cutaneous polyps.
        J Med Genet. 1990; 27: 337-338
        • Rudnik-Schöneborn S
        • Zerres K.
        A further patient with Pai syndrome with autosomal dominant inheritance?.
        J Med Genet. 1994; 31: 497-498
        • Singh GP
        • Singh A
        • Malhotra G
        • Gulati SK
        • Mander KJ.
        Median cleft of the upper lip.
        Acta Chir Plast. 1994; 36: 35-37
        • Shin MS
        • Choi YJ
        • Lee JY
        • et al.
        A case of accessory tragus on the nasal vestibule.
        Ann Dermatol. 2010; 22: 61-62
        • Moradi S
        • Castiglione C
        • Ehrig T.
        Accessory tragus: report of a case in a rare location on the nasal vestibule.
        Pediatr Dermatol. 2020; 37: 383-384