[One-stage columellar reconstruction. Use of a vascularized double labial flap]

The author describes a technique for one-stage repair of the columella which he has used since 1984. The procedure is based on the anatomical concept of the venous drainage of the columellar region and philtrum. Two vascularised para-alar flaps are raised from the philtrum then raised 90 degrees with an equivalent horizontal rotation. The donor site is closed by primary suture with no cicatricial sequelae. A columellar support can be inserted between the two flaps. The long-term results were considered to be good in every case.