A novel approach to columellar reconstruction in a child
We present a novel method for columellar reconstruction using a hidden donor site and review the challenges and limitations of columellar reconstruction in children with Fitzpatrick VI skin type. A staged reconstruction was conceived in which a full-thickness skin graft was transferred to the superi...
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Published in | The Laryngoscope Vol. 128; no. 12; p. 2718 |
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Main Authors | , |
Format | Journal Article |
Language | English |
Published |
United States
01.12.2018
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Subjects | |
Online Access | Get more information |
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Summary: | We present a novel method for columellar reconstruction using a hidden donor site and review the challenges and limitations of columellar reconstruction in children with Fitzpatrick VI skin type. A staged reconstruction was conceived in which a full-thickness skin graft was transferred to the superior gingivolabial sulcus in the area of the maxillary frenulum. Six months later, the prelaminated soft tissue flap was delivered through a horizontal incision at the subnasale, and the donor site closed primarily. We report satisfactory results following a novel approach to composite soft tissue reconstruction of the columellar subunit in a 9-year-old child. LEVEL OF EVIDENCE: 4 Laryngoscope, 128:2718-2720, 2018. |
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ISSN: | 1531-4995 |
DOI: | 10.1002/lary.27229 |