Reconstruction of the large columella defect with Сchmid-Мeyer flap

Introduction. The reconstruction of columella defects is still regarded as a challenging procedure due to the very specific anatomy of the columella and limited local and regional flap options. Furthermore, the texture and color of columella tissue pose difficulties in choosing the right method of r...

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Main Authors: Dimitrijević Milovan, Jović Marko, Stojković Goran, Dimitrijević Ana
Format: Article
Language:English
Published: Military Health Department, Ministry of Defance, Serbia 2022-01-01
Series:Vojnosanitetski Pregled
Subjects:
Online Access:http://www.doiserbia.nb.rs/img/doi/0042-8450/2022/0042-84502100091D.pdf
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author Dimitrijević Milovan
Jović Marko
Stojković Goran
Dimitrijević Ana
author_facet Dimitrijević Milovan
Jović Marko
Stojković Goran
Dimitrijević Ana
author_sort Dimitrijević Milovan
collection DOAJ
description Introduction. The reconstruction of columella defects is still regarded as a challenging procedure due to the very specific anatomy of the columella and limited local and regional flap options. Furthermore, the texture and color of columella tissue pose difficulties in choosing the right method of reconstruction. Case report. The report presents a patient who underwent reconstruction of a complex columella defect using a Schmid-Meyer flap. Schmid-Meyer flap represents a tubular flap with an internal supraciliary pedicle which allows the transposition of the temporal skin with the addition of ear cartilage on the tip of the nose or the ala nasi. The integration of the flap was complete. During the five-year follow-up period, the cosmetic and functional results were satisfying. Conclusion. Schmid-Meyer flap may be one of the best options for the reconstruction of complex defects of the columella.
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spelling doaj.art-f41b8fd1ab7d40ad820363bcfb59f4342023-03-10T08:07:50ZengMilitary Health Department, Ministry of Defance, SerbiaVojnosanitetski Pregled0042-84502406-07202022-01-0179121274127610.2298/VSP210223091D0042-84502100091DReconstruction of the large columella defect with Сchmid-Мeyer flapDimitrijević Milovan0Jović Marko1https://orcid.org/0000-0001-8366-8775Stojković Goran2Dimitrijević Ana3University of Belgrade, Faculty of Medicine, Belgrade, Serbia + University Clinical Center of Serbia, Clinic for Otorhinolaryngology and Maxillofacial Surgery, Belgrade, SerbiaUniversity of Belgrade, Faculty of Medicine, Belgrade, Serbia + University Clinical Center of Serbia, Clinic for Plastic and Reconstructive Surgery, Belgrade, SerbiaUniversity of Belgrade, Faculty of Medicine, Belgrade, Serbia + University Clinical Center of Serbia, Clinic for Otorhinolaryngology and Maxillofacial Surgery, Belgrade, SerbiaUniversity Clinical Center of Serbia, Clinic for Ophthalmology, Belgrade, SerbiaIntroduction. The reconstruction of columella defects is still regarded as a challenging procedure due to the very specific anatomy of the columella and limited local and regional flap options. Furthermore, the texture and color of columella tissue pose difficulties in choosing the right method of reconstruction. Case report. The report presents a patient who underwent reconstruction of a complex columella defect using a Schmid-Meyer flap. Schmid-Meyer flap represents a tubular flap with an internal supraciliary pedicle which allows the transposition of the temporal skin with the addition of ear cartilage on the tip of the nose or the ala nasi. The integration of the flap was complete. During the five-year follow-up period, the cosmetic and functional results were satisfying. Conclusion. Schmid-Meyer flap may be one of the best options for the reconstruction of complex defects of the columella.http://www.doiserbia.nb.rs/img/doi/0042-8450/2022/0042-84502100091D.pdfnasal septumnose deformities, acquirednose neoplasmsreconstructive surgical proceduresrhinoplasty
spellingShingle Dimitrijević Milovan
Jović Marko
Stojković Goran
Dimitrijević Ana
Reconstruction of the large columella defect with Сchmid-Мeyer flap
Vojnosanitetski Pregled
nasal septum
nose deformities, acquired
nose neoplasms
reconstructive surgical procedures
rhinoplasty
title Reconstruction of the large columella defect with Сchmid-Мeyer flap
title_full Reconstruction of the large columella defect with Сchmid-Мeyer flap
title_fullStr Reconstruction of the large columella defect with Сchmid-Мeyer flap
title_full_unstemmed Reconstruction of the large columella defect with Сchmid-Мeyer flap
title_short Reconstruction of the large columella defect with Сchmid-Мeyer flap
title_sort reconstruction of the large columella defect with сchmid мeyer flap
topic nasal septum
nose deformities, acquired
nose neoplasms
reconstructive surgical procedures
rhinoplasty
url http://www.doiserbia.nb.rs/img/doi/0042-8450/2022/0042-84502100091D.pdf
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AT stojkovicgoran reconstructionofthelargecolumelladefectwithschmidmeyerflap
AT dimitrijevicana reconstructionofthelargecolumelladefectwithschmidmeyerflap