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Alar rim reconstruction utilizing a perinasal transposition flap overlying a hinged "turn-down" flap
1Stanford University Medical Center, Palo Alto, California.
The Journal of Dermatologic Surgery and Oncology
|March 1, 1991
Summary
Reconstructing the alar rim is difficult. A novel technique using nasal and perinasal tissue flaps creates a thin, well-contoured nasal rim, addressing this surgical challenge.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Rhinology
Background:
- Alar rim reconstruction presents significant surgical challenges.
- Achieving optimal contour and thinness in the nasal rim is critical for aesthetic and functional outcomes.
Purpose of the Study:
- To present a novel surgical technique for alar rim reconstruction.
- To evaluate the efficacy of using supradefect nasal tissue and perinasal tissue flaps for alar rim formation.
Main Methods:
- A hinged "turn-down" flap was created from supradefect nasal tissue.
- An inferiorly-based transposition flap was mobilized from the perinasal tissue.
- These two flaps were combined to reconstruct the alar rim.
Main Results:
- The combined flap technique successfully formed the alar rim.
- The reconstructed alar rim exhibited a thin profile.
- Proper contour of the nasal rim was achieved with this method.
Conclusions:
- This technique offers a viable solution for challenging alar rim reconstructions.
- The use of supradefect nasal and perinasal tissue flaps provides a method for achieving thin and contoured nasal rims.