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CC BY-NC-ND 4.0 · Indian J Plast Surg 2017; 50(01): 096-099
DOI: 10.4103/ijps.IJPS_163_16
Case Report
Association of Plastic Surgeons of India

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

Davide Di Santo
1   Department of Otorhinolaryngology, San Raffaele Hospital and Vita-Salute University, Via Olgettina, Milan, Italy
,
Matteo Trimarchi
1   Department of Otorhinolaryngology, San Raffaele Hospital and Vita-Salute University, Via Olgettina, Milan, Italy
,
Andrea Galli
1   Department of Otorhinolaryngology, San Raffaele Hospital and Vita-Salute University, Via Olgettina, Milan, Italy
,
Mario Bussi
1   Department of Otorhinolaryngology, San Raffaele Hospital and Vita-Salute University, Via Olgettina, Milan, Italy
› Author Affiliations
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Publication History

Publication Date:
05 July 2019 (online)

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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.

KEY WORDS

Acquired nose deformities - cocaine-related disorders - rhinoplasty - surgical flaps
 

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