Clover-shaped advancement flap for correction of short and broad columella in a patient with frontorhiny.
This report describes a recessively inherited frontonasal malformation termed "frontorhiny" in recent literature. The authors developed a modified open rhinoplasty incision for correction of a broad, swollen columella due to frontorhiny. The clover-shaped flap was composed of a central V–Y advancement flap and bilateral folding flaps. This report relates the case of an 8-year-old girl with a broad columella and poor nasal tip development treated by a clover-shaped flap with dorsal onlay augmentation using autologous rib cartilage. This clover-shaped flap technique may be useful not only in frontorhiny cases but also in other cases of a short and broad columella. Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.
So-Eun
SE
Han
So Young
SY
Lim
Chang-Seok
CS
Ki
D002648:Child; D019465:Craniofacial Abnormalities / Q000601:surgery*; D005145:Face / Q000002:abnormalities* / Q000601:surgery; D005260:Female; D006801:Humans; D009300:Nasal Septum / Q000002:abnormalities* / Q000601:surgery*; D012225:Rhinoplasty / Q000379:methods*; D013524:Surgical Flaps