Reconstruction of congenital and acquired columellar defects: clinical review of 38 patients |
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Authors: | Ayhan Meltem Sevin Asuman Aytug Zeynep Gorgu Metin Erdoğan Bülent |
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Affiliation: | Izmir Ataturk Training and Research Hospital, Clinic of Plastic and Reconstructive Surgery, Izmir, Turkey. |
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Abstract: | ABSTRACT: Reconstruction of columella presents certain difficulties and includes reconstruction of the cartilaginous strut and the overlying skin to obtain good results. We conducted a retrospective clinical review of 38 patients presenting with congenital and acquired columellar defects. Anatomic characteristics to be considered were defined and a classification method is proposed to more fully describe columellar defects. The columellar defects of the patients were classified into three groups as follows: type I, skin defect of columella and absence of medial crura of lower lateral cartilage; type II, type II + partial absence of caudal part of septal cartilage; and type III, complex defect of columella accompanying with the other nasal subunit defects. The patients chosen in this study were designed to describe a common approach for the choice of the reconstruction method that provides excellent aesthetic result while minimizing the extent of the surgery and maximizing patient acceptance. |
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