Reconstruction of the columella is difficult and there is not a universally accepted technique for performing it. We report a series of eleven cases during the last twelve years for columellar reconstruction. The diverse techniques employed are described and the relevant literature reviewed. A special mention is made about the better way to reconstruct the columella in cases of median cleft of the face.
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References
1.
BlairVPByarSH: Hits strikes and outs in the use of pedicle flaps for nasal reconstruction. Surg. Gyn. Obst.82:367, 1946.
2.
BrownJBCannanB: Composite free graft of skin and cartilage from the ear. Surg. Gyn. Obst.82:253, 1946.
3.
CardosoAD: Loss of columella after leishmaniasis: Reconstruction with a subcutaneous tissue pedicle. PRS21:117, 1956.
4.
DelpechJ: Reconstruction of the nose. Ecole de Montpellier, 1828.
5.
DiffenbachFJ: Surgical observations on restoration of nose. Op. Chir.1:359, 1833.
6.
DupertuisM. Free ear lobe grafts of skin and fat. PRS1:135, 1946.
7.
EarleyMJChantarasakND: The transverse forked flap in columellar reconstruction. Brit. J. Plast. Surg.42:270, 1989.
8.
GilliesHD: Deformities of the syphilitic nose. Brit. Med. J.2:977, 1923.
9.
GilliesHD: The columella. Brit. J. Plast. Surg.2:192, 1949.
10.
HavensGZ: Reconstruction of the columella/nose. Surg. Clin. N. Am.25:877, 1945.
11.
HeanleyC: The subcutaneous tissue pedicle flap in columellar and other nasal reconstruction. Brit. J. Plast. Surg.8:60, 1955.
12.
IvyRH: Repair of acquired defects of the face. JAMA84:181, 1925.
13.
JosephJ: Handbiech d. speizilla chirurgie. Katz-Preising: Blumenfeld, 1912.
14.
KazanjianVH: Nasal deformities of syphilitic origin. PRS3:517, 1948.
15.
MatthewsDW: Hare lip and palate. In Plastic Surgery in Infancy and Childhood, p. 34. MustardeJC, ed. Philadelphia: W.B. Saunders, 1971.
