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Repair of Alar Defects Using the Alar Rotation Flap: Our Experience with 394 Patients.
Mario Mitkov1, James Griffith1, Mary Dyson1
1From the Division of Dermatology, Houston Methodist Hospital; and DermSurgery Associates.
Plastic and Reconstructive Surgery
|October 3, 2020
Summary
The alar rotation flap is a reliable surgical technique for nasal ala defects, offering good results with low complication rates. This method effectively restores nasal form and function.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Dermatologic Surgery
Background:
- Nasal ala defects require reconstructive techniques.
- The alar rotation flap is one such method for reconstruction.
Purpose of the Study:
- To describe patient selection for the alar rotation flap.
- To detail the surgical technique.
- To report outcomes and complications.
Main Methods:
- Retrospective analysis of 394 alar rotation flaps.
- Performed between June 2006 and February 2019.
- Follow-up assessed complications and revisions.
Main Results:
- 394 patients underwent the procedure.
- Mean follow-up was 2.3 years.
- Low complication rates: 3% hemorrhagic crust, 2% flap edema, 1% nasal valve dysfunction.
Conclusions:
- Alar rotation flap is reliable for small-to-medium defects.
- Achieves topographic restoration.
- Minimal aesthetic or functional complications.
