Reconstruction of the columella with alar margin flaps

Presurgical naso-alveolar molding paired with cheiloplasty to treat median cleft lip deformity in holoprosencephaly

“…The columellar reconstruction was also significant; it was performed using the local flaps from the alar margin or upper lip by following previously reported methods [7,8]. However, those flaps are insufficient to firmly support the radically aberrant alar tissue and appropriately lift the depressed nasal tip.…”

A Rare Case of Proboscis Lateralis with Median Cleft Lip

“…Reconstruction of the columella is reported to require various challenging procedures, such as alar margin flaps (Saad and Barron, 1980), Abbé flap (Millard and Williams, 1968), and the flap from the nasal lobule (Sadove et al, 1989). The problem with these techniques is that reconstruction occurs but sacrifices normal tissue, which would then be deformed.…”

Reconstrucción total de columela con rinoplastia estética simultánea

“…tente, encontramos algo idéntico descrito por Elbaz desde 1971. [22][23][24][25] Para la utilización de la técnica descrita, se debe considerar la necesidad de retoques en las muescas secundarias a la rotación de los colgajos con pequeñas Z-plastias asimétricas que mejoren la continuidad de las narinas, aunque podemos recomendar, por la calidad circulatoria local del tejido utilizado, valorar la opción de efectuarlas primariamente en el primer tiempo quirúrgico.…”