Reconstruction of the large columella defect with Schmid-Meyer flap

Abstract

Introduction. The reconstruction of columella defects is still regarded as a challenging procedure due to the very specific anatomy of the columella and limited local and regional flap options. Furthermore, the texture and color of columella tis-sue pose difficulties in choosing the right method of recon-struction. Case report. The report presents a patient who un-derwent reconstruction of a complex columella defect using a 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 carti-lage on the tip of the nose or the ala nasi. The integration of the flap was complete. During the five-year follow-up period, the cosmetic and functional results were satisfying. Conclu-sion. Schmid-Meyer flap may be one of the best options for the reconstruction of complex defects of the columella. © 2022 Inst. Sci. inf., Univ. Defence in Belgrade. All rights reserved.