Original Location of Congenital Nasal Sinus "Midcolumella": A Modified Inverted V Incision Technique

Area of Science:

• Otolaryngology
• Plastic Surgery
• Congenital Malformations

Background:

• Congenital nasal sinuses are rare malformations.
• A midcolumellar sinus location is unprecedented in medical literature.
• Optimal surgical management for midcolumellar sinus remains undefined.

Observation:

• A 15-year-old female presented with a congenital sinus in the midcolumellar area.
• The patient required future septorhinoplasty, necessitating aesthetic considerations.
• A modified inverted V incision was employed for surgical excision.

Findings:

• The modified inverted V incision allowed for complete sinus excision.
• The surgical technique avoided any additional scarring in the midcolumellar line.
• This approach addressed the patient's specific age and aesthetic concerns.

Implications:

• This case presents a novel surgical strategy for a rare congenital anomaly.
• The modified technique offers a patient-specific solution for midcolumellar sinus management.
• This approach may inform future surgical interventions for similar congenital nasal malformations.