A novel approach to columellar reconstruction in a child

Andrew R. Scott, Kofi D. Boahene

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish (US)
Pages (from-to)2718-2720
Number of pages3
JournalLaryngoscope
Volume128
Issue number12
DOIs
StatePublished - Dec 2018

Keywords

  • Columellar necrosis
  • columellar reconstruction
  • delayed flap
  • nasal reconstruction
  • pediatric

ASJC Scopus subject areas

  • Otorhinolaryngology

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