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ISSN 1405-0625 (Print)

2018, Number 3

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Cir Plast 2018; 28 (3)

Total columella reconstruction with aesthetic simultaneous rhinoplasty

Trigos MI

Language: Spanish
References: 25
Page: 115-119
PDF size: 309.28 Kb.


ABSTRACT

The columella is a sub-unit of the nose of great aesthetic and functional value which can be affected by several congenital or acquired conditions such as infections, trauma, tumors or iatrogenic injury that makes its possible reconstruction complicated. Several techniques have been described to achieve this, ranging from the Indian or frontal flap to various local flaps of the nasolabial floor, nasolabial folds, lateral walls of the nose, nasal wings, to grafts composed of different areas of the ear, with or without cartilage grafts. A case of iatrogenicity following an incorrect conventional rhinoplasty is presented, in which, in addition to reconstructing the entire columella, a corrective rhinoplasty was performed simultaneously. We discuss the reconstructive options emphasizing the convenience of this variant, using both nostrils as a donor site for the flap as well as technical details that are useful to achieve a better reconstruction.


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