Practical classification of columellar defects and surgical algorithm for their treatment

Microsurgical reconstruction of the isolated columellar defect with a prelaminated radial forearm free flap. A case report and a review of the literature

“…The search of the literature revealed that satisfactory reconstruction of the columella is possible through several techniques (Marcasciano et al, ; Margulis et al, ). For skin‐only columellar defects, skin grafts are a reasonable reconstructive method.…”

“…The choice of the reconstructive method should also address a color match and texture, minimizing donor site morbidity. The search of the literature revealed that satisfactory reconstruction of the columella is possible through several techniques (Marcasciano et al, 2017;Margulis et al, 2013). For skin-only columellar defects, skin grafts are a reasonable reconstructive method.…”

“…However, the above‐mentioned techniques were not suitable in our case due to the previous use of local tissue (nasolabial fold bilaterally) for upper lip reconstruction. The forehead flap could represent another valuable reconstructive option (Baker & Swanson, ; Margulis et al, ). However, it is usually reserved in those cases where columellar defect is part of a larger nasal defect; additionally this procedure usually needs a second stage for division of the pedicle and results in an oblique or midline scar on the forehead.…”

Columella reconstruction with an inferiorly-based philtral advancement flap in a cocaine abuser

“…Ayhan et al [5] first proposed a classification of columellar defects and reported good results using full-thickness skin grafts or chondrocutaneous grafts when nasal columella was the only nasal subunit involved. More recently Margulis et al [6] proposed a V-Y flap from the philtrum for reconstruction of partial or subtotal columellar defects. Jung et al [7] reported 20 cases of subnasale flap for columella reconstruction.…”

Reconstrucción total de columela con rinoplastia estética simultánea

“…www.medigraphic.org.mx etiopatogenia tan diversa y lo complicado de su anatomía hacen que su reconstrucción sea compleja y altamente especializada. [1][2][3] Existen numerosas y variadas técnicas reconstructivas descritas en la literatura internacional desde hace varios siglos, como el colgajo indio de la región frontal, que ha sufrido innumerables modificaciones recientes, [4][5][6] o la clásica obra de Tagliacozzi. 7 Otras técnicas quirúrgicas fueron revisadas en los reportes de Kazanjian 4 o Paletta, 8 que incluyen variantes de todo tipo como injertos compuestos 9 o diferentes diseños de colgajos locales.…”