Columellar reconstruction: a refinement of technique

Tzur, Rotem; Berezovsky, Alexander Bogdanov; Krieger, Yuval; Shoham, Yaron; Silberstein, Eldad

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자료유형: 학술저널

저자정보: Tzur, Rotem (Division of Plastic and Reconstructive Surgery, Soroka University Medical Center, Ben-Gurion University of the Negev) Berezovsky, Alexander Bogdanov (Division of Plastic and Reconstructive Surgery, Soroka University Medical Center, Ben-Gurion University of the Negev) Krieger, Yuval (Division of Plastic and Reconstructive Surgery, Soroka University Medical Center, Ben-Gurion University of the Negev) Shoham, Yaron (Division of Plastic and Reconstructive Surgery, Soroka University Medical Center, Ben-Gurion University of the Negev) Silberstein, Eldad (Division of Plastic and Reconstructive Surgery, Soroka University Medical Center, Ben-Gurion University of the Negev)

저널정보: 대한두개안면성형외과학회 Archives of craniofacial surgery : ACFS Archives of craniofacial surgery : ACFS 제19권 제2호

발행연도: 2018.1

수록면: 148 - 151 (4page)

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The nose is an important landmark of the face and its shape and beauty is of significant concern. The columella is the subunit between the two nostrils that provides support and projection to the nasal tip and has functional role in nostrils, as well as aesthetic. Ethiology for columellar absence or deficiency is diverse, and it is one of the most complex nasal subunits to reconstruct because of its narrow horizontal dimension, its tenuous vascularity and limited availability of adjacent tissue. We present a patient with columellar, membranous septum and upper lip defect, due to oncological resection. The lip reconstruction was designed using advancement of two upper lip edges with the technique of webster perialar/nasocheek advancement. However, the perialar/nasocheek tissue which is usually discarded was used as inferiorly based skin flaps to reconstruct the membranous septum, columellar skin and nasal vestibule lining. Rib cage cartilage graft was used as columellar strut for support. At 1-year follow-up, the patient has good nasal contour and projection. Scaring of the columella is very subtle. This is a versatile way for successful reconstruction of a columella and large central facial defect in one-stage operation. It is a method which provides very satisfactory aesthetic result with minimum patient morbidity and discomfort.

#Columella reconstruction #Nose reconstruction #Columella resection

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