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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Reconstruction of the retracted nasal alar margin
1Department of Surgery, John McClellan VA Hospital, and the Department of Otolaryngology-Head and Neck Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas 72205, USA. vuralemrea@uams.edu
Abstract:
Disruption of the integrity of nasal alar subunit as a result of previous ablative surgery or trauma may cause severe retraction or notching. This article presents a technique of successful reconstruction of the severely retracted alar margin due to prior ablative surgery or trauma by utilizing a turn-in flap brought from the nasal skin adjacent to the alar defect for inner lining, an auricular cartilage graft for alar margin support and a two-stage nasolabial flap for skin coverage.