Application of the two-flap method for nasal alar contracture

Area of Science:

• Plastic Surgery
• Reconstructive Surgery
• Otolaryngology

Background:

• Contracted nasal ala presents a significant challenge in plastic surgery.
• Existing surgical methods often result in multiple stages, visible scarring, and poor aesthetic outcomes like asymmetry.
• Naso-ocular clefts require specialized reconstructive techniques.

Purpose of the Study:

• To present a modified two-flap surgical technique for the reconstruction of contracted nasal ala.
• To address the limitations of previous methods, specifically conspicuous scarring and asymmetry.
• To achieve improved symmetry, color match, and thickness in nasal alar reconstruction.

Main Methods:

• Utilized the two-flap method by Thomson and Sleightholm for isolated naso-ocular clefts.
• Introduced modifications including a deeper backcut into the dome on the mesial side of the contracture.
• Employed thinner flaps compared to the original technique.

Main Results:

• Achieved reasonable symmetry in all patients.
• Demonstrated good color match and appropriate flap thickness.
• Reported no conspicuous facial scarring in any patient.
• Successfully reconstructed contracted nasal ala with improved aesthetic results.

Conclusions:

• The modified two-flap method offers an effective solution for contracted nasal ala reconstruction.
• This technique overcomes the drawbacks of previous methods, providing superior aesthetic results.
• The procedure yields satisfactory symmetry, color, thickness, and avoids significant facial scarring.