Dimitrijević, Milovan (25642808400)Milovan (25642808400)DimitrijevićJović, Marko (57190425324)Marko (57190425324)JovićStojković, Goran (59498807300)Goran (59498807300)StojkovićDimitrijević, Ana (57221766955)Ana (57221766955)Dimitrijević2025-06-122025-06-122022https://doi.org/10.2298/VSP210223091Dhttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85148009900&doi=10.2298%2fVSP210223091D&partnerID=40&md5=22379722bb1b502a92228ce8fb899d44https://remedy.med.bg.ac.rs/handle/123456789/3697Introduction. 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.nasal septumnose deformities, acquirednose neoplasmsreconstructive surgical proceduresrhinoplasty