scholarly journals Alar Rim Composite Graft: A Safe and Simple Way to Correct Alar Retraction

2018 ◽  
Vol 24 (2) ◽  
pp. 55-61
Author(s):  
Jeong Jin Chun ◽  
Seok Min Yoon ◽  
Syeo Young Wee ◽  
Chang Yong Choi ◽  
Hyuk Soo Oh ◽  
...  
Keyword(s):  
Composite Graft ◽  
Alar Retraction ◽  
Alar Rim

scholarly journals Single stage reconstruction of alar rim defect using auricular composite graft: a case report

2005 ◽  
Vol 38 (02) ◽  
pp. 150-153
Author(s):  
A Soni
Keyword(s):  
Case Report ◽  
Composite Graft ◽  
Single Stage ◽  
Alar Rim

ABSTRACTA case report of reconstruction of a post infective alar rim defect, in a girl of 13 years of age, occurring as a result of septic piercing of the nose, using a composite graft taken from the ear in a single stage is described.

Alar rim retraction: Composite graft repair

1990 ◽  
Vol 1 (4) ◽  
pp. 258-259
Author(s):  
H. Devon Graham ◽  
M. Eugene Tardy
Keyword(s):  
Composite Graft ◽  
Alar Rim

scholarly journals Nasal alar rim redraping method to prevent alar retraction in rhinoplasty for Asian men: A retrospective case series

2021 ◽  
Vol 48 (1) ◽  
pp. 3-9
Author(s):  
Jun Ho Choi ◽  
Hyokyung Yoo ◽  
Byung Jun Kim
Keyword(s):  
Soft Tissue ◽  
Case Series ◽  
Soft Tissue Coverage ◽  
Retrospective Case ◽  
Posterior View ◽  
Primary Rhinoplasty ◽  
Alar Retraction ◽  
Asian Men ◽  
Alar Rim ◽  
Anterior Posterior

Background For an attractive and natural tip contour in Asian rhinoplasty, insertion of a nasal implant and reinforcement of the cartilaginous framework are essential. However, scar contracture, which often results from augmentation with implant insertion and inadequate soft tissue coverage of the framework, is one of the most common causes of alar retraction. This study reports a novel method of redraping soft tissue along the alar rim to prevent alar retraction in Asians.Methods Twenty young Asian men who underwent primary rhinoplasty with septoplasty were retrospectively reviewed. After the usual rhinoplasty procedures, alar rim redraping was conducted for the soft tissue along the transcolumellar and bilateral infracartilaginous incisions. The longest axis of the nostril (a) and the height of the nostril from that axis (b) were measured in anterior-posterior and lateral views. The preoperative and postoperative ratios (b/a) were analyzed using the paired t-test.Results All 20 patients showed natural contours of the nasal tip, nostrils, and alae after a mean follow-up of 53.6 weeks (range, 52–60 weeks). The ratio of the nostril axes significantly decreased postoperatively in all patients except one, by an average of 11.08%±6.52% in the anterior-posterior view and 17.74%±8.49% in the lateral view (P<0.01). There were no complications, including asymmetry, contracture, subdermal plexus injury, flap congestion, or infection.Conclusions A quantitative analysis of alar retraction by evaluating the ratio of nostril axes showed that alar rim redraping is a simple and effective adjuvant technique for preventing alar retraction in rhinoplasty for young Asian men.

Designing a Trifoliate Flap for Isolated Congenital Alar Rim Defect in Pediatric Patients

2021 ◽  
pp. 229255032110196
Author(s):  
Shi-Yan Li ◽  
Bao-Fu Yu ◽  
Shu-Yi Wei ◽  
Ning Yin ◽  
Zong-Jiang Yao ◽  
...  
Keyword(s):  
Pediatric Patients ◽  
Standard Technique ◽  
Aesthetic Outcome ◽  
Flap Surgery ◽  
Rotation Flap ◽  
Alar Retraction ◽  
Surgical Suture ◽  
The Aesthetic ◽  
Alar Rim

Isolated congenital alar rim defects are extremely rare, and there has been no standard technique for the reconstruction of remarkable aesthetic deformity. Herein, we introduce a trifoliate flap for the correction of isolated congenital alar rim defects in pediatric patients. Fifteen cases undergoing nasal alar sulcus rotation flap surgery were analyzed retrospectively. This rotation flap including 3 triangles was a modified flap based on prior studies. Clinical medical notes and photographs were reviewed. Patients’ (or their parents) reported satisfactions with aesthetic outcome were also evaluated during the post-operative follow-up period. In all patients, the isolated congenital alar rim defects were successfully reconstructed. The rotation flap survived and the wound healed primarily. The follow-up period ranged from 6 to 22 months (average 11 months). There were no incidents of flap loss, step-off deformities, nasal obstruction, or alar retraction. At follow-up of post-operative 3 months, pale red scars were observed in the operative area in few patients (2/15). However, these scars gradually became invisible at post-operative 6 months. All patients (or their parents) were satisfied with the aesthetic outcome of this operation. This newly designed trifoliate flap can be an alternative method for the reconstruction of isolated congenital alar rim defects in pediatric patients. The scars of this procedure can be unobvious with fine surgical suture.

Alar Retraction: Composite Graft Correction

1989 ◽  
Vol 6 (02) ◽  
pp. 101-107 ◽  
Author(s):  
M. Tardy ◽  
Dean Toriumi
Keyword(s):  
Composite Graft ◽  
Alar Retraction
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