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Home
Revision Rhinoplasty In Retrocolumellar Perforation.

Home
Revision Rhinoplasty In Retrocolumellar Perforation.

Related Experiment Video

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Revision Rhinoplasty in Retrocolumellar Perforation.

Sercan Göde¹, Aynur Aliyeva^2,3, Mehmet Burak Apaydın⁴

¹Otorhinolaryngology Department, Özel Sağlık Hospital, Ege University School of Medicine, Izmir, Turkey.

Aesthetic Plastic Surgery

|May 4, 2026

View abstract on PubMed

Summary

This summary is machine-generated.

Repair of retrocolumellar perforations (RCPs) using vascularized flaps achieved high closure rates and improved nasal tip support. This method significantly enhanced patient-reported outcomes in complex revision rhinoplasty cases.

Keywords:

Gingivobuccal flap Nasal tip projection Retrocolumellar perforation Revision rhinoplasty Septal reconstruction

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Published on: October 13, 2017

Area of Science:

Plastic Surgery
Otolaryngology
Rhinoplasty

Background:

Retrocolumellar perforations (RCPs) are rare but significant complications following revision rhinoplasty.
These defects often lead to columellar retraction, shortened nasal length, and diminished tip projection.
Repair necessitates vascularized flaps for mucosal coverage and structural integrity.

Purpose of the Study:

To assess the efficacy of endonasal and gingivobuccal flaps in repairing RCPs.
To evaluate outcomes regarding perforation closure, nasal tip projection, and patient satisfaction.
To analyze the impact of these repairs on cosmetic and functional nasal aspects.

Main Methods:

A cohort of 28 patients with RCPs underwent surgical repair.
Flap selection was based on intraoperative findings; all cases utilized rib cartilage grafts.

Outcomes were measured by perforation status, nasal tip projection, and the Standardized Cosmesis and Health Nasal Outcomes Survey (SCHNOS).

Main Results:

Successful perforation closure was achieved in 96.4% of patients (27/28).
Nasal tip projection was maintained in 82.1% of patients (23/28).
SCHNOS scores showed significant improvement, rising from 18.2 preoperatively to 89.4 postoperatively (p < 0.001).

Conclusions:

Structured vascularized flaps offer high success rates for RCP repair, ensuring reliable nasal tip support.
Significant functional and cosmetic improvements are achievable with these reconstructive techniques.
Gingivobuccal flaps are particularly beneficial for revision cases with compromised anterior nasal structures.