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. 2025 Jan;135(1):118-120.
doi: 10.1002/lary.31649. Epub 2024 Jul 16.

A New Two-Staged Method for Total Columellar Reconstruction

Michel L H T Vaena  1 , Caterina G Alessio  2 , Kevin Sicalo  2 , Felipe de Olveira Brito Queiroz  2 , Roberta R de Souza Albuquerque  2 , Danielli R L da Silva  2
Affiliations

A New Two-Staged Method for Total Columellar Reconstruction

Michel L H T Vaena et al. Laryngoscope. 2025 Jan.

Abstract

The nasal columella is considered by many to be the most difficult nasal aesthetic subunit to reconstruct, due to its delicate anatomy and central location. Full thickness columellar defects are particularly challenging. Being in the midline of the face, the nasal columella receives vascularization from terminal arterial branches, so adjacent local flaps have limited arcs of rotation or may be too bulky, thus withdrawing the options for reconstruction. Forehead flaps, due to their reliable vascularization and excellent aesthetic result, are the workhorse for reconstructing most nasal defects. However, a low hairline in the forehead may be an obstacle to their use in columellar reconstruction, considering the distal position of the defect. We present a technique designed for total columellar reconstruction using a two-staged forehead flap in a 9-year-old child. The method is particularly useful for patients with a low hairline, avoiding transfer of hair-bearing skin to the reconstructed columella. Laryngoscope, 135:118-120, 2025.

Keywords: columellar reconstruction; delayed flap; nasal reconstruction; nose deformities; pediatric.

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References

BIBLIOGRAPHY

    1. Nowicki J, Abbas JR, Sudbury D, Anari S. Nasal columella reconstruction – a comprehensive review of the current techniques. J Plast Reconstr Aesthet Surg. 2020;73(5):815‐827.
    1. Scott AR, Boahene KD. A novel approach to columellar reconstruction in a child. Laryngoscope. 2018;128(12):2718‐2720.
    1. Houseman ND, Taylor GI, Pan WR. The Angiossomes of the head and neck: anatomic study and clinical applications. Plast Reconstr Surg. 2000;105(7):2287‐2313.
    1. Keck T, Lindemann J, Kühnemann S, Sigg O. Healing of composite Chondrocutaneous auricular grafts covered by skin flaps in nasal reconstructive surgery. Laryngoscope. 2003;113(2):248‐253.
    1. Son D, Kwak M, Yun S, Yeo H, Kim J, Han K. Large auricular Chondrocutaneous composite graft for nasal alar and Columellar reconstruction. Arch Plast Surg. 2012;39(4):323.

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