Tanini Sara, Lo Russo Giulia
Department of Surgery and Translational Medicine, Plastic and Reconstructive Microsurgery, Careggi University Hospital, Florence, Italy.
Plast Reconstr Surg Glob Open. 2018 Jan 12;6(1):e1604. doi: 10.1097/GOX.0000000000001604. eCollection 2018 Jan.
Columella is an important structure in the center of the face, and its structural integrity has an important functional, social, and psychological role. Columella reconstruction can be very challenging for surgeons and the ideal technique remains elusive. This article describes a reconstruction technique in a young woman with columella necrosis due to nasal continuous positive airway pressure treatment. The method of reconstruction described here, with a V-shaped internal nasal vestibular flap and a cartilage grafts from lateral crura, is simple and easily reproducible, providing an optimal aesthetic result and in addition the donor site does not create a secondary deformity by disrupting normal anatomy.
鼻小柱是面部中央的重要结构，其结构完整性具有重要的功能、社交和心理作用。鼻小柱重建对外科医生来说可能极具挑战性，理想的技术仍然难以捉摸。本文描述了一名因鼻持续气道正压通气治疗导致鼻小柱坏死的年轻女性的重建技术。这里所描述的重建方法，采用V形鼻内前庭皮瓣和来自外侧脚的软骨移植，简单且易于重复，能提供最佳的美学效果，此外供区不会因破坏正常解剖结构而造成继发畸形。
