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KMID : 1195620140070020142
Clinical and Experimental Otorhinolaryngology
2014 Volume.7 No. 2 p.142 ~ p.144
Reconstruction of a Columellar Defect With a Nasolabial Island Flap
Kang Il-Gyu

Jung Joo-Hyun
Kim Seon-Tae
Kim Yu-Jin
Abstract
Columellar skin defects may be caused by excision of cutaneous malignancy, trauma, or tissue necrosis associated with surgery. Although columellar skin necrosis rarely occurs following rhinoplasty, this condition might be more common when using an external approach than a closed approach. Columellar skin incision performed with exaggerated tip augmentation may cause columellar necrosis. The nasolabial island flap, used unilaterally to cover columellar skin defects, is used for a single-stage reconstruction procedure and is generally not associated with the need for secondary surgeries. This technique is well suited for repairing columellar skin defects. We experienced a patient with columellar skin necrosis occurring after rhinoplasty which was reconstructed using a unilateral single-stage nasolabial island flap.
KEYWORD
Island flap, Columellar defect, Rhinoplasty
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