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Updated: Jul 16, 2026
Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
Subnasale flap for correction of columellar deformity
Dong-Hak Jung1, Levi John G Lansangan, Jong Mu Choi
1Shimmian Rhinoplasty Clinic, Secho-dong, Secho-gu, Seoul, Korea. rhinojdh@hotmail.com
Background:
Columellar defects or deformities are challenging problems to correct. Many different techniques have been described, yet none are ideal, especially for the purpose of aesthetic improvement.
Methods:
Local flaps are designed from the subnasale region extending into the nasal floor. It is a one-stage procedure that transfers well-matched skin to the columella. Flaps are rotated medially to improve various types of columellar deformities. The flap was used in 20 cases for defective, narrow, and deviated columella.
Results:
Results in all of the cases were satisfactory, with minimal complications.
Conclusions:
The procedure is relatively simple, and primary closure of the donor site is possible without causing external deformity. The subnasale flap can be fashioned without a visible donor-site scar. It is indicated for partial to total reconstruction of columellar defects, aesthetic improvement of narrow columella, and correction of deviated columella.
