New method for the reconstruction of the nasal columela from chondromiocutaneous grafts of the retroauricular region. Report of a case

Abstract

Introduction: The columella is the subunit between the two nostrils that provides support and projection to the nasal tip and has a functional role as well as an aesthetic one. The etiology for the absence of columellar is diverse, and it is one of the most complex nasal subunits to reconstruct due to its narrow horizontal dimension, its tenuous vascularity, and the limited availability of adjacent tissue. Aim: to present the one-step procedure for the reconstruction of the columella with a chondromyocutaneous graft from the retroauricular region. Case report: A 38-year-old female patient presented with a surgical complication referred by another specialist who, after performing primary rhinoplasty, presented an isolated columella defect. The defect was reconstructed in one phase using a chondro-myocutaneous graft from the retroauricular region, where no complications were observed. Conclusion: This is a method that provides a very satisfactory aesthetic result with minimal patient morbidity and discomfort.

Keywords

• Nasal columella
• Reconstruction
• Chondro-myocutaneous graft
• Columella reconstruction
• Nose reconstruction