Anguiano-Yazbek R, Cárdenas-Camarena L, Aguilera-Serrano J

Language: Spanish
References: 12
Page: 25-30
PDF size: 404.91 Kb.

ABSTRACT

Columella loss can be caused by trauma, infection, or malignant injury. Optimal reconstruction requires structural support and coverage with adequate skin texture and color match, coupled with the absence of a secondary defect or deformity at the donor site. We present a three-dimensional columella reconstruction technique in a three-year-old patient, born at 26 weeks of gestation, as a consequence of a traumatic injury caused by the use of the non-invasive ventilation system in the management of extreme prematurity that caused necrosis of the columella as a complication from the use of a mask. We designed a transverse flap in the upper part of the lip, leaving the central part as a cutaneous pedicle. The flap wings reconstruct the lateral face of the columella and support is achieved with a cartilage graft, accomplishing three-dimensional reconstruction. The three-dimensional reconstruction is obtained in a single time with an adequate aesthetic and functional result, giving firm support to the nasal tip with the same color and texture. The defect in the donor area is almost nil, which improves ventilation and smell functionally. We conclude that this technique allows the reconstruction of the columella in a single surgical time with an adequate aesthetic and functional result, avoiding deformities in the donor site.

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