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Reconstruction of Congenital and Acquired Columellar Defects: Clinical Review of 38 Patients

Ayhan, Meltem MD; Sevin, Asuman MD; Aytug, Zeynep MD; Gorgu, Metin MD; Erdoğan, Bülent MD

Journal of Craniofacial Surgery: November 2007 - Volume 18 - Issue 6 - p 1500-1503
doi: 10.1097/SCS.0b013e318053430b
Brief Clinical Notes

Reconstruction of columella presents certain difficulties and includes reconstruction of the cartilaginous strut and the overlying skin to obtain good results. We conducted a retrospective clinical review of 38 patients presenting with congenital and acquired columellar defects. Anatomic characteristics to be considered were defined and a classification method is proposed to more fully describe columellar defects. The columellar defects of the patients were classified into three groups as follows: type I, skin defect of columella and absence of medial crura of lower lateral cartilage; type II, type II + partial absence of caudal part of septal cartilage; and type III, complex defect of columella accompanying with the other nasal subunit defects. The patients chosen in this study were designed to describe a common approach for the choice of the reconstruction method that provides excellent aesthetic result while minimizing the extent of the surgery and maximizing patient acceptance.

From the Izmir Ataturk Training and Research Hospital, Clinic of Plastic and Reconstructive Surgery, Izmir; and Ankara Numune Training and Research Hospital, Clinic of Plastic and Reconstructive Surgery, Ankara, Turkey.

Address correspondence and reprint requests to Zeynep Aytug, MD, 2040/1 sokak Selcuk 2 Giris:1 D:51, Mavisehir Izmir 35540, Turkey; E-mail:

© 2007 Mutaz B. Habal, MD