Reconstruction of the large columella defect with Сchmid-Мeyer flap

Abstract

Introduction: Reconstruction of columella defects is still regarded a challenging procedure, due to very specific anatomy of columella and limited local and regional flap options. Furthermore, a texture and color of columella tissue pose difficulties in choosing right method of reconstruction. Case report: Authors present a patient who underwent reconstruction of complex columella defect using Schmid-Meyer flap. Schmid-Meyer flap represents a tubular flap with an internal supraciliary pedicle which allows the transposition of the temporal skin with the addition of ear cartilage on the tip of the nose or the ala nasi. The integration of the flap was complete. During five-year follow-up period, the cosmetic and functional results were satisfying. Conclusion. Schmid-Meyer flap may be one of the best options for reconstruction of complex defect of columella.