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Hypoplastic lateral crus causing alar retraction and underprojected nasal tip: correction with multiple grafts
1Department of Plastic and Reconstructive Surgery, Acıbadem University Medical School, Maltepe, İstanbul, Turkey. cengizacikel@gmail.com
Aesthetic Plastic Surgery
|June 1, 2012
Summary
Severe nasal deformities, including alar retraction and an underprojected tip caused by hypoplastic lateral crura, were effectively corrected. Surgical reconstruction utilized cartilage grafts and a Medpor implant for successful aesthetic and functional outcomes.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Reconstructive Surgery
Background:
- Hypoplastic lateral crura can lead to severe alar retraction and an underprojected nasal tip.
- Addressing these deformities requires advanced reconstructive techniques.
Observation:
- A case presented with significant alar retraction and an underprojected nasal tip attributed to underdeveloped lateral crura.
- The patient's condition impacted both nasal aesthetics and function.
Findings:
- Successful surgical correction was achieved using a combination of grafts: columellar strut, lateral crus replacement, and lateral crus caudalization.
- A Medpor implant was also utilized to enhance nasal structure and projection.
Implications:
- This case demonstrates the efficacy of combined grafting and implant techniques in correcting complex nasal deformities.
- The described surgical approach offers a viable solution for patients with severe alar retraction and tip underprojection due to hypoplastic lateral crura.
