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 language | English (US) |
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Pages (from-to) | 2718-2720 |
Number of pages | 3 |
Journal | Laryngoscope |
Volume | 128 |
Issue number | 12 |
DOIs | |
State | Published - Dec 2018 |
Keywords
- Columellar necrosis
- columellar reconstruction
- delayed flap
- nasal reconstruction
- pediatric
ASJC Scopus subject areas
- Otorhinolaryngology