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Indian J Plast Surg. 2017 Jan-Apr;50(1):96-99. doi: 10.4103/ijps.IJPS_163_16.

Columella reconstruction with an inferiorly-based philtral advancement flap in a cocaine abuser.

Indian journal of plastic surgery : official publication of the Association of Plastic Surgeons of India

Davide Di Santo, Matteo Trimarchi, Andrea Galli, Mario Bussi

Affiliations

  1. Department of Otorhinolaryngology, San Raffaele Hospital and Vita-Salute University, Via Olgettina, Milan, Italy.

PMID: 28615819 PMCID: PMC5469245 DOI: 10.4103/ijps.IJPS_163_16

Abstract

Nasal columella defects can significantly impair aesthetic appearance. Columella reconstruction can be very challenging for surgeons, especially if due to cocaine abuse. The case of a 32-year-old male patient with subtotal columellar necrosis secondary to cocaine abuse is presented. An inferiorly based philtral advancement flap was performed to cover the defect. Aesthetic outcome was the primary goal of surgery. Reconstruction led to good aesthetic and functional results.

Keywords: Acquired nose deformities; cocaine-related disorders; rhinoplasty; surgical flaps

Conflict of interest statement

There are no conflicts of interest.

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