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Columella reconstruction with the Washio flap
S Motamed1, A J Kalantar-Hormozi
1Department of Plastic and Maxillofacial Surgery, Shahid Beheshti University of Medical Sciences, 15, Khordad Medical Centre, Aban Street, Karim Khan Blvd, Tehran, Iran.
British Journal of Plastic Surgery
|November 15, 2003
Summary
Columellar reconstruction after cleft lip surgery can be challenging. A temporo-parieto-auricular flap provided a successful aesthetic outcome for an 8-year-old girl, demonstrating its utility in this complex procedure.
Area of Science:
- Plastic Surgery
- Craniofacial Surgery
- Pediatric Surgery
Background:
- Columellar reconstruction presents significant challenges in achieving satisfactory aesthetic results.
- Previous bilateral cleft lip surgery can complicate subsequent reconstructive efforts.
- The columella is a critical component of nasal aesthetics and function.
Observation:
- An 8-year-old female patient required columellar reconstruction.
- The reconstruction was performed 7 years post-bilateral cleft lip repair.
- A temporo-parieto-auricular flap was utilized for the reconstruction.
Findings:
- The temporo-parieto-auricular flap proved effective for columellar reconstruction.
- The surgical method yielded good color match with surrounding tissues.
- Excellent aesthetic results were achieved post-operatively.
Implications:
- This flap technique offers a viable solution for challenging columellar defects.
- It highlights a successful reconstructive option for patients with prior cleft lip surgery.
- Further research may explore long-term outcomes and broader applicability of this flap.