Single-Stage Reconstruction of Nasal Columella Using Bilateral Nasolabial Flaps

Area of Science:

• Plastic Surgery
• Otolaryngology
• Head and Neck Surgery

Background:

• The nasal columella presents significant reconstructive challenges, often yielding suboptimal aesthetic results.
• The nasolabial flap is a recognized reconstructive option for the columella.

Observation:

• A patient with a columellar neoplasm underwent surgical excision and reconstruction.
• Reconstruction utilized bilateral nasolabial flaps, elevated, debulked, and rotated medially in a single surgical stage.

Findings:

• Complete columella reconstruction was achieved in one surgical stage.
• The bilateral nasolabial flap technique demonstrated satisfactory functional and aesthetic outcomes.
• This single-stage approach minimizes patient interventions and recovery time.

Implications:

• This technique offers an effective solution for complex nasal columella defects.
• It provides a streamlined, single-stage option for columella reconstruction.
• The method enhances both the functional and aesthetic results of nasal reconstruction.