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Published on: June 20, 2018
Sublabial approach for columellar reconstruction in corrective rhinoplasty
1Department of Plastic Surgery, Rabin Medical Center, Beilinson Campus, Petah Tiqwa, Israel. sariti@zahav.net.il
Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
|September 13, 2008
Summary
A novel sublabial approach offers effective columellar reconstruction, providing improved aesthetics and function. This minimally invasive technique is easy to master and yields superior cosmetic results with minimal scarring.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Facial Reconstruction
Background:
- Columellar reconstruction presents significant functional and aesthetic challenges.
- Existing techniques may have limitations in achieving optimal outcomes.
Purpose of the Study:
- To introduce and evaluate a novel sublabial approach for columellar reconstruction.
- To assess the efficacy, safety, and cosmetic results of this technique.
Main Methods:
- A cohort of 32 patients with columellar collapse underwent reconstruction using the sublabial approach.
- A cartilage graft (preferably septal) was introduced through a tunnel created via a gingivo-buccal sulcus incision.
- An additional graft secured the primary graft, with follow-up averaging 21 months.
Main Results:
- The procedure demonstrated a low complication rate (graft absorption, extrusion, infection) primarily during the initial learning phase.
- Post-technical modifications, complications were significantly reduced.
- The technique provided excellent structural support, shape, height, and projection to the nasal tip.
Conclusions:
- Columellar reconstruction via the sublabial approach is an anatomic, minimally invasive, and time-saving procedure.
- The technique is easily mastered and offers cosmetically superior results, especially in patients with prior septal surgery or perforation.
