Columella reconstruction using double nasolabial flap and costal cartilage: A case report

Total loss of columella causes significant aesthetic and functional deformities due to its important functions which provides assistance extension the nose pointer. Noma is described as one developed sources total columellar loss, also contagious, with ability intensely damage facial tissues immediate structures. However, condition predominantly suffered in Africa, an estimation 20 instances per 100,000 individuals. Furthermore, reformation a disorder offers complex process, structural features location. A 24-year-old female patient caused by Noma. We performed two stage reconstruction. First, we used double nasolabial flaps create new columella. Second, inserted costal cartilage dermofat graft support it. The flap demonstrated 100% survival. Both nasal airway final appearance showed functionally cosmetically remarkable results. angle projected better than preoperative measurement. was satisfied. followed up until year after surgery. combined best surgical options obtain astonishing