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Peri-alar hatchet flap for the reconstruction of the columella and nasal tip

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Abstract

Reconstruction of the nasolabial columella complex is a technical challenge for which many solutions have been suggested. The peri-alar hatchet pedicle flap, herein described, allows the transposition of a well-matched tissue to reconstruct columellar and nasal tip defects while preserving the alar and nasolabial crease. This procedure did not require a columellar strut or a finishing touch-up procedure for sufficient columellar projection and achieved excellent cosmetic results.

Level of Evidence: Level V, therapeutic study.

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Patients provided written consent for the use of their images.

Ethical standards

This study has been approved by the appropriate ethics committee and has, therefore, been performed in accordance with the ethical standards set forth in the 1964 Declaration of Helsinki and its later amendments. All participants gave their informed consent prior to their inclusion in the study.

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Correspondence to Devendra Kumar Gupta.

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Gupta, D.K. Peri-alar hatchet flap for the reconstruction of the columella and nasal tip. Eur J Plast Surg 38, 55–60 (2015). https://doi.org/10.1007/s00238-014-1042-5

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  • DOI: https://doi.org/10.1007/s00238-014-1042-5

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