BURUN TABANI, KOLUMELLA VE MEMBRANÖZ SEPTUM DEFEKTİNİN TEK SEANSLI ONARIMI: OLGU SUNUMU

Year 2011, Volume: 19 Issue: 2, 94 - 97, 01.08.2011

Özlem A. Gündeşlioğlu

Abstract

Burun tabanı, kolumella ve septum mukozasını birlikte içeren tümörleri nadir görülür. Bununla birlikte bu şekilde lokalize olmuş tümörlerin cerrahi olarak çıkarılmasını takiben rekonstruksiyonu, defektin farklı doku içeriği ve rekonstruksiyon seçeneklerinin kısıtlı olması nedeniyle zordur. Literatürde bu tür kompozit defektlerin tek bir fleple rekonstrüksiyon seçenekleri tanımlanmıştır. Bu olguda ise; tümör rezeksiyonu sonrası burun tabanı, kolumella yarısı ve membranöz septumu içeren kompozit defekt, farklı doku içeriklerinin gereksinimi doğrultusunda kıkırdak greft, oral mukoza flebi ve nasolabial flep ve kullanılarak rekonstrükte edilmiştir. Bu metotla tek seansta, estetik ve fonksiyonel açıdan tatmin edici sonuç elde etmek mümkün olmuştur.

Keywords

Burun tabanı, kolumella, septum, rekonstrüksiyon

RECONSTRUCTION OF NASAL VESTIBULUM, COLUMELLA AND MEMBRANOUS SEPTUM DEFECT IN ONE SESSION: A CASE REPORT

Abstract

Nasal tumors comprising the nasal vestibule, columella and membranous septum are rare. However, reconstruction of this type of composite tissue defect after tumor extirpation is challenging because of the content of the defect consisting of different tissues and the limited reconstruction options. The reconstruction options of the composite defects with only a single flap have been described in the relevant literature. In this case; composite tissue defect including nasal vestibule, partial columella and whole membranous septum was reconstructed using strut cartilage graft, labial mucosal flap, and nasolabial flap according to types of different tissue content requirements. It is possible to gain excellent aesthetic and functional results in a single session with this technique.

Keywords

Nasal vestibule, columella, membranous septum, reconstruction

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