Isolated Congenital Cleft of the Nose

The intrauterine growth of the face is formed by appropriate fusion of frontonasal, maxillary, and mandibular protrusions. These anomalies are very rare and there may be differences between individuals according to cleft types. In this article, a very rare condition of isolated alar cleft and its treatment method were presented. A 14-year-old female patient applied to our clinic with complaint of congenital nasal deformity. On physical examination, a full thickness defect was observed on distal 1/3 of right alar wing, and the right alar cartilage was found as malpositioned of 2 cm more cranially than it should have supposed to be. The patient was diagnosed as isolated nasal cleft and repaired with rotation and transposition flaps. In the technique described earlier, it was observed that the rotation and transposition flaps not only correct the incomplete units but also facilitating the correction of the nostril malposition. One must consider full-layer repair to obtain a more acceptable image in terms of aesthetic and functional results. According to authors, this technique is advantageous as it provides both excellent color and texture harmony.