Subnasale flap for correction of columellar deformity.

Abstract

Columellar defects or deformities are challenging problems to correct. Many different techniques have been described, yet none are ideal, especially for the purpose of aesthetic improvement. Local flaps are designed from the subnasale region extending into the nasal floor. It is a one-stage procedure that transfers well-matched skin to the columella. Flaps are rotated medially to improve various types of columellar deformities. The flap was used in 20 cases for defective, narrow, and deviated columella. Results in all of the cases were satisfactory, with minimal complications. The procedure is relatively simple, and primary closure of the donor site is possible without causing external deformity. The subnasale flap can be fashioned without a visible donor-site scar. It is indicated for partial to total reconstruction of columellar defects, aesthetic improvement of narrow columella, and correction of deviated columella.