Medially based horizontal nasolabial flaps for reconstruction of columellar defects

Reconstruction of columellar defects continues to be a surgical challenge. We present the results of two child-abuse patients who were successfully treated with a technique in which medially based bilateral horizontal nasolabial flaps were used to reconstruct total columellar loss. Our technique pro...

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Bibliographic Details
Published inArchives of otolaryngology--head & neck surgery Vol. 116; no. 8; p. 973
Main Authors Pincus, R L, Bukachevsky, R P
Format Journal Article
LanguageEnglish
Published United States 01.08.1990
Subjects
Child
Child Abuse
Child, Preschool
Humans
Male
Nasal Septum - injuries
Nose Deformities, Acquired - surgery
Rhinoplasty - methods
Surgical Flaps - methods
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Summary:Reconstruction of columellar defects continues to be a surgical challenge. We present the results of two child-abuse patients who were successfully treated with a technique in which medially based bilateral horizontal nasolabial flaps were used to reconstruct total columellar loss. Our technique provides adequate tissue with minimal cosmetic deformity. It also obviates the need for multiple staged procedures. We recommend the use of this method for repair of either partial or total columellar defects secondary to trauma or infection.
ISSN:0886-4470
DOI:10.1001/archotol.1990.01870080095025