A novel approach to columellar reconstruction in a child

Abstract

4. Laryngoscope, 2018.

Modified Lip Lift Technique for Pediatric Columellar Reconstruction: A Case Report

“…This is especially useful in pediatric patients who have full thickness columellar defects too large for composite graft reconstruction, as many local flaps result in donor site scarring that may be as prominent as the deformity itself. 9,17,18 Of note, labial and nasofacial incisions are particularly difficult to camouflage in children. [17][18][19][20] Our modified lip lift approach is well-suited for pediatric patients as it can be performed at a young age with low potential for discernible scarring.…”

“…3 Additionally, pedicled and prelaminated labial mucosal flaps have been successfully used for reconstruction. 8,9…”

“…3 Additionally, pedicled and prelaminated labial mucosal flaps have been successfully used for reconstruction. 8,9 Traditionally used for improvement in esthetic appearance, the upper lip lift employs similar techniques to local lip flaps and was initially adapted for columellar reconstruction by Pincus and Bukachevsky in 1990, later modified by Brunetti et al in 2020. 10,11 To the best of our knowledge, this paper reports the first pediatric case of columellar reconstruction utilizing a modified lip lift approach.…”

Reconstruction of the columella with interposition of nasogenian flaps: A case report

“…Alterations to the columella can be caused by surgical excision of skin neoplasms, trauma, or iatrogenic factors ischaemic injuries, vascular malformations and congenital malformation of nasal anatomy [ 3 ]. Over time, various techniques have been proposed for its reconstruction, ranging from methods based on the use of full thickness skin grafts [ 4 ] or composite grafts [ 5 ] to those based on the use of local flaps (such as nasal vestibule flaps [ 6 ] and nasolabial flap [ 7 ]) or regional flaps (such as the forehead flap [ 8 ]), and even involving the use of free flaps [ 9 ]. Reconstruction of the columella remains a significant challenge today due to its aesthetic importance, central position within the face and long-term results are usually unsatisfactory.…”