A Novel Technique for Nasal Alar Reconstruction
Summary:. Reconstruction of full-thickness alar defects is delicate. Small asymmetries are visible because of the central position of the nose. Different alar reconstruction techniques such as the nasolabial, bilobed, and composite grafts provide an excellent option to reconstruct alar skin and text...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2022-04-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004284 |
| _version_ | 1818522776897585152 |
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| author | Nasser Nadjmi, MD, DDS, PhD Lukas Vaes, MD, DDS Elke Van de Casteele, PhD |
| author_facet | Nasser Nadjmi, MD, DDS, PhD Lukas Vaes, MD, DDS Elke Van de Casteele, PhD |
| author_sort | Nasser Nadjmi, MD, DDS, PhD |
| collection | DOAJ |
| description | Summary:. Reconstruction of full-thickness alar defects is delicate. Small asymmetries are visible because of the central position of the nose. Different alar reconstruction techniques such as the nasolabial, bilobed, and composite grafts provide an excellent option to reconstruct alar skin and texture. However, these donor tissues will never perfectly match alar tissue in terms of color and contour. This report presents a case of a 56-year-old woman with alar asymmetry due to soft tissue loss of the right alar rim, para-nasal, and nasolabial groove as consequence of a severe trauma in the past. Scarring tissue, retractions, and suboptimal tissue quality on the right side of the face complicated a standard procedure. In this case, a novel reconstruction technique was planned for alar reconstruction. In a two-staged procedure, a well-perfused alar base flap from the contralateral side was raised to recreate the basal portion of the right lateral alar rim. Concomitantly a lip lifting procedure was performed to correct the inadequate incisal show. As result, perfectly matching skin color, texture, and correction toward alar and facial symmetry were realized. Satisfactory aesthetic outcome for the patient was achieved. The final result was evaluated 12 months postoperatively by the use of stereophotogrammetry technology. |
| first_indexed | 2024-12-11T05:37:28Z |
| format | Article |
| id | doaj.art-c6c9d84e4ae846a59c63ed1c032921e9 |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-12-11T05:37:28Z |
| publishDate | 2022-04-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-c6c9d84e4ae846a59c63ed1c032921e92022-12-22T01:19:15ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742022-04-01104e428410.1097/GOX.0000000000004284202204000-00046A Novel Technique for Nasal Alar ReconstructionNasser Nadjmi, MD, DDS, PhD0Lukas Vaes, MD, DDS1Elke Van de Casteele, PhD2From the * Faculty of Medicine & Health Sciences, University of Antwerp, Antwerp, BelgiumFrom the * Faculty of Medicine & Health Sciences, University of Antwerp, Antwerp, BelgiumFrom the * Faculty of Medicine & Health Sciences, University of Antwerp, Antwerp, BelgiumSummary:. Reconstruction of full-thickness alar defects is delicate. Small asymmetries are visible because of the central position of the nose. Different alar reconstruction techniques such as the nasolabial, bilobed, and composite grafts provide an excellent option to reconstruct alar skin and texture. However, these donor tissues will never perfectly match alar tissue in terms of color and contour. This report presents a case of a 56-year-old woman with alar asymmetry due to soft tissue loss of the right alar rim, para-nasal, and nasolabial groove as consequence of a severe trauma in the past. Scarring tissue, retractions, and suboptimal tissue quality on the right side of the face complicated a standard procedure. In this case, a novel reconstruction technique was planned for alar reconstruction. In a two-staged procedure, a well-perfused alar base flap from the contralateral side was raised to recreate the basal portion of the right lateral alar rim. Concomitantly a lip lifting procedure was performed to correct the inadequate incisal show. As result, perfectly matching skin color, texture, and correction toward alar and facial symmetry were realized. Satisfactory aesthetic outcome for the patient was achieved. The final result was evaluated 12 months postoperatively by the use of stereophotogrammetry technology.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004284 |
| spellingShingle | Nasser Nadjmi, MD, DDS, PhD Lukas Vaes, MD, DDS Elke Van de Casteele, PhD A Novel Technique for Nasal Alar Reconstruction Plastic and Reconstructive Surgery, Global Open |
| title | A Novel Technique for Nasal Alar Reconstruction |
| title_full | A Novel Technique for Nasal Alar Reconstruction |
| title_fullStr | A Novel Technique for Nasal Alar Reconstruction |
| title_full_unstemmed | A Novel Technique for Nasal Alar Reconstruction |
| title_short | A Novel Technique for Nasal Alar Reconstruction |
| title_sort | novel technique for nasal alar reconstruction |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004284 |
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