Use of reverse blood flow vascular island nasolabial pedicle flap in the repair of the columella
Pochet, F.; Gueganton, C.; Gas, C.; Collin, J.F.; Combelles, R.
Annales de Chirurgie Plastique et Esthetique 39(6): 785-788
1994
ISSN/ISBN: 0294-1260 PMID: 7661563 Document Number: 428279
The authors report the use of a vascular island nasolabial flap with facial arterial pedicle and reverse blood flow inspired by the flap described by C. Le Quang in an unpublished indication. This case concerns a 64-year-old patient with a large botryomycoma of the columella. The size of the defect following excision and the length of the columella authorized reconstruction using a split thickness nasolabial reverse flap. At one year post-operatively the result was aesthetic and defatting was unnecessary. This flap is used to repair defects of the nasal lateral wall and ala. In some conditions, it can be used to repair the collumela, providing a safe vascular support in one stage.