NHÂN MỘT TRƯỜNG HỢP ỨNG DỤNG VẠT NHÂN TRUNG TÁI TẠO TRỤ MŨI BIẾN DẠNG CO RÚT KẾT HỢP TẠO HÌNH MŨI BẰNG SỤN SƯỜN TỰ THÂN

Abstract

Introduction: Open rhinoplasty have developed strongly in recent decades and are widely applied in Vietnam. Currently, many cosmetic clinics apply open rhinoplasty and have recorded some complications of this technique, especially nasal columella deformity. This complication seriously affects the aesthetics and function of the nose. Case report: A 52-year-old patient has undergone rhinoplasty surgery 6 times, with nasal columella contraction, lack of nasal columella skin, stenosis of the external nasal valves on both sides, forcing her to breathe through her mouth. Surgical method: An incision along through the nasal columella scar, after that create a philtral flap to reconstruct the contracted soft tissue of the nasal columella, create a dosal cavity, and identify the remaining structures of septum, alar cartilage. Septal extension graft lengthens the tip and increases nasal tip projection. Butterfly wing graft to lift both nostrils and block costal cartilage combined with diced costal cartilage to shape the bridge of the nose. Results: Successfully treated the case of columella contracture deformity with philtral flap in patients with severe columella contracture deformity. Bring aesthetics and nasal function to patients. Conclusion: A philtral flap can be raised to reconstruct severe columella contracture deformity. It allows good aesthetic and functional outcome.