The Reconstruction of the Nasal Columella Defect Using Domino Flaps

Autor:	Le Diep Linh, Luu Phuong Lan, Nguyen Phuong Tien, Nguyen Quoc Manh, Vu Ngoc Lam, Nguyen Quang Duc
Jazyk:	angličtina
Rok vydání:	2024
Předmět:	nasal columella defect nasocheek island flap horizontal upper lip island flap Domino flaps Surgery RD1-811
Zdroj:	Archives of Plastic Surgery, Vol 51, Iss 04, Pp 367-371 (2024)
Druh dokumentu:	article
ISSN:	2234-6163 2234-6171
DOI:	10.1055/a-2309-1701
Popis:	Skin defects of the total nasal columella can significantly impact both nasal respiratory function and aesthetics. The reconstruction of total columella is a complex process and represents a significant challenge for plastic surgeons. Various factors can cause the loss of the columella. Numerous columella reconstruction procedures have been proposed, each with their own set of advantages and disadvantages. The main issues to address include the need for regional flaps from the forehead or nasofacial sulcus, a long pedicle to reach the columella, and the double angular folding that causes a risk of malnutrition or venous congestion. Additionally, using horizontal nasolabial flaps may lead to deformation of the upper lip.
Databáze:	Directory of Open Access Journals
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