The reconstruction of the nasal columella defect using Domino flaps
Skin efects of the total nasal columella can significantly impact both nasal respiratory function and aesthetics. The reconstruction of total columella is a complex process and represents a significant challenge for plastic surgeons. Various factors can cause the loss of the columella. Numerous columella reconstruction procedures have been proposed, each with their own set of advantages and disadvantages. The main issues to address include the need for regional flaps from the forehead or nasofacial sulcus, a long pedicle to reach the columella, and the double angular folding that causes a risk of malnutrition or venous congestion. Additionally, using horizontal nasolabial flaps may lead to deformation of the upper lip. In this study, we present a new procedure to reconstruct the nasal columella using “Domino flaps” with two flaps (the horizontal upper lip island flap and nasocheek island flap). This new procedure ensures adequate skin for reconstruction of nasal columella and partial tip, minimizes rotation angle, reduces the angular folding of the pedicle, furthermore limits deformation of the upper lip. “Domino flaps” are a valuable option for surgeons when reconstructing the total nasal columella. However, it's important to consider whether the patient has a beard at the donor sites.
- Location
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Deutsche Nationalbibliothek Frankfurt am Main
- Extent
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Online-Ressource
- Language
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Englisch
- Bibliographic citation
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The reconstruction of the nasal columella defect using Domino flaps ; day:18 ; month:04 ; year:2024
Archives of Plastic Surgery ; (18.04.2024)
- Contributor
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Le Diep, Linh
Vu Ngoc, Lam
Nguyen Quang, Duc
Nguyen Phuong, Tien
Luu Phuong, Lan
Nguyen Quoc, Manh
- DOI
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10.1055/a-2309-1701
- URN
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urn:nbn:de:101:1-2406131018072.051179355857
- Rights
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Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
- Last update
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14.08.2025, 10:46 AM CEST
Data provider
Deutsche Nationalbibliothek. If you have any questions about the object, please contact the data provider.
Associated
- Le Diep, Linh
- Vu Ngoc, Lam
- Nguyen Quang, Duc
- Nguyen Phuong, Tien
- Luu Phuong, Lan
- Nguyen Quoc, Manh
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Reconstruction of Pretibial Defect Using Pedicled Perforator Flaps
Cranially-based nasolabial flaps for the reconstruction of nasal surgical defects
Single Stage Nasal Reconstruction in a Near Total Nasal Defect
Reconstruction of a Perineoscrotal Defect Using Bilateral Medial Thigh Fasciocutaneous Flaps
Myelomeningocele defect reconstruction with keystone flaps: vascular rationale for the design and operative technique
Reconstruction of the Lower Extremity Using Free Flaps
Fabricating Flaps in the Forearm Prior to Tracheal Reconstruction
Reconstruction of a large chest wall defect using bilateral pectoralis major myocutaneous flaps and V-Y rotation advancement flaps: a case report
Correction of Nasal Deformity in Leprosy with Nasolabial Flaps
Reconstruction of the Lower Extremity with Cross-Leg Free Flaps
Personalized approach for complex bilateral calcaneal osteomyelitis and defect reconstruction with bilateral abductor digiti minimi flaps
Reconstruction of Nasal Tip Defect
Reconstruction of Pretibial Defect Using Pedicled Perforator Flaps
Cranially-based nasolabial flaps for the reconstruction of nasal surgical defects
Single Stage Nasal Reconstruction in a Near Total Nasal Defect
Reconstruction of a Perineoscrotal Defect Using Bilateral Medial Thigh Fasciocutaneous Flaps
Myelomeningocele defect reconstruction with keystone flaps: vascular rationale for the design and operative technique
Reconstruction of the Lower Extremity Using Free Flaps
Fabricating Flaps in the Forearm Prior to Tracheal Reconstruction
Reconstruction of a large chest wall defect using bilateral pectoralis major myocutaneous flaps and V-Y rotation advancement flaps: a case report
Correction of Nasal Deformity in Leprosy with Nasolabial Flaps
Reconstruction of the Lower Extremity with Cross-Leg Free Flaps