Columella defect is a noticable deformity which is seen following its loss secondary to injuries, diseases, or surgical excisions.
The reconstruction of the defect can be achieved by one of the following four methods as advocated by Converse in 1964, i.e. 1) the cervical tubes, 2) the forehead flaps, 3) the nasolabial flaps, and 4) the composite grafts.
There is tendency for most surgeons to prefer the nasolabial -flap method becase of the lesser extent of resulting scars and deformities.
Authors obtained a good result in correcting a columella defect from a chronic inflammatory disease in 27 years old woman.
Vomerian and nasal tip flaps were employed to make a new columella and the resulting inner raw surface was covered with buccal mucous membrane of the upper lip. The pedicle of the mucosal flap was detached on 10th postoperative day.
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