An Innovative Technique for Columellar Reconstruction using ‘Flip-Over’ Buccal Mucosa Flap

Agrawal, Kapil; Shrotriya, Raghav; Pabari, Mansi

doi:10.7860/jcdr/2016/19864.8111

Cited by 6 publications

(9 citation statements)

References 8 publications

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“…In children, labial and nasofacial incisions are particularly difficult to conceal . The procedure presented herein is similar in concept to a method recently described in 2016 by Agrawal et al, in which the columellar subunit was reconstructed using a pedicled labial mucosal flap . The method we describe is different from the Agrawal technique in that a prelaminated flap was created using postauricular skin prior to transfer any tissue from the oral vestibule to the columellar area.…”

Section: Discussionmentioning

confidence: 92%

“…[1][2][3][4] The procedure presented herein is similar in concept to a method recently described in 2016 by Agrawal et al, in which the columellar subunit was reconstructed using a pedicled labial mucosal flap. 5 The method we describe is different from the Agrawal technique in that a prelaminated flap was created using postauricular skin prior to transfer any tissue from the oral vestibule to the columellar area. Additionally, we introduced cartilage framework at the second phase of reconstruction to provide additional bulk, support, and form to the newly created subunit.…”

Section: Discussionmentioning

confidence: 99%

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A novel approach to columellar reconstruction in a child

Scott

Boahene

2018

The Laryngoscope

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Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 99%

A novel approach to columellar reconstruction in a child

Scott

Boahene

2018

The Laryngoscope

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“…Each technique has its own advantages and disadvantages as described by the authors, and some require multiple operations. These techniques vary in complexity and include a wide range of operative procedures such as composite grafts (6), fronto-temporal flap (2,3), nasolabial flaps (7), naso-cheek flaps (8), buccal mucosal flap (9), free flap (4), forehead flap (10), and prefabricated flaps (11).…”

Section: Discussionmentioning

confidence: 99%

Reconstruction of the large columella defect with Сchmid-Мeyer flap

et al. 2022

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Introduction: Reconstruction of columella defects is still regarded a challenging procedure, due to very specific anatomy of columella and limited local and regional flap options. Furthermore, a texture and color of columella tissue pose difficulties in choosing right method of reconstruction. Case report: Authors present a patient who underwent reconstruction of complex columella defect using Schmid-Meyer flap. Schmid-Meyer flap represents a tubular flap with an internal supraciliary pedicle which allows the transposition of the temporal skin with the addition of ear cartilage on the tip of the nose or the ala nasi. The integration of the flap was complete. During five-year follow-up period, the cosmetic and functional results were satisfying. Conclusion. Schmid-Meyer flap may be one of the best options for reconstruction of complex defect of columella.

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“…Severe deformity can results from its defects or absence and create an important structural and aesthetic discomfort. 1 – 3 , 6 The ideal technique should meet the aesthetic and functional needs of the patient without leaving additional healing results and distort the normal anatomy, should create a support structure for the nasal tip and external nasal valves, but also an aesthetically pleasing structure, with adequate projection to restore the nasolabial angle. 3 Different techniques can be used for columella reconstruction, from direct primary closure and skin grafts to free flaps.…”

Section: Discussionmentioning

confidence: 99%

V-shaped Internal Nasal Vestibular Flap for Reconstruction of Iatrogenic Columellar Defect

Tanini

Russo

2018

Plastic and Reconstructive Surgery - Global Open

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Summary:Columella is an important structure in the center of the face, and its structural integrity has an important functional, social, and psychological role. Columella reconstruction can be very challenging for surgeons and the ideal technique remains elusive. This article describes a reconstruction technique in a young woman with columella necrosis due to nasal continuous positive airway pressure treatment. The method of reconstruction described here, with a V-shaped internal nasal vestibular flap and a cartilage grafts from lateral crura, is simple and easily reproducible, providing an optimal aesthetic result and in addition the donor site does not create a secondary deformity by disrupting normal anatomy.

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An Innovative Technique for Columellar Reconstruction using ‘Flip-Over’ Buccal Mucosa Flap

Cited by 6 publications

References 8 publications

A novel approach to columellar reconstruction in a child

A novel approach to columellar reconstruction in a child

Reconstruction of the large columella defect with Сchmid-Мeyer flap

V-shaped Internal Nasal Vestibular Flap for Reconstruction of Iatrogenic Columellar Defect

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